HomeMy WebLinkAbout195009 03/02/2011 *f CITY OF CARMEL, INDIANA VENDOR: 360417 Page 1 of 1
ONE CIVIC SQUARE JESSICA DAVIS
CARMEL, INDIANA 46032 CHECK AMOUNT: $22.95
CHECK NUMBER: 195009
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 22.95 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM I40. 103 111 11
MILEAGE CLAIM
To 1
(GOVERNMENTAL UNIT!
ON ACCOUNT OF APPROPRIATION ND. FOR
(OFFICE, BOARD, DEPARTUENT OR INSnrUnON)
—1r SPEEDOMETER
f
DATE FROM TO READING AUTO E
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED MILES C
PER MILE
1
AUTO LICENSE NO. TOTALS 1�
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map,
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, w1 afte aliowinq ust cr its
and that no part of the same has been paid. 4
Date
t vv
4 2011
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
360417 Davis, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
213111 Reimb. Mileage 113 1131111 22.95
Total 22.95
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No,
360417 Davis, Jessica Allowed 20
In Sum of
22.95
ON ACCOUNT OF APPROPRIATION FOR
108 !ESE
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1081 -11 Reimb. 4343000 22.95 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
24 -Feb 2011
Z2 &JJP I nQ�
Signature
22.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund