HomeMy WebLinkAbout195093 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 364694 Page 1 of 1
G ONE CIVIC SQUARE JOSHUA JONES CHECK AMOUNT: $10.97
CARMEL, INDIANA 46032 3624 OUINCY DR
ANDERSON IN 46011 CHECK NUMBER: 195093
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 10.97 TRAVEL FEES EXPENSE
1 6
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1985)
MILEAGE CL o c
(OOVFANMEWALUN ON ACCOUNT OF APPROPRIATION NO. FOR
(OFICF, HOARD, DLTARTIM(T OR 1NSIM)TION)
DATE I FROM TO SPEEDOMETER AUTO MIU AGE READING C'
NATURE OF liUSINES6 Irt
POINT POINT START FINISH TRAVELED
PER MIIE
ap
L T
lit
i
O+lo A
�b o t wun
4 D V�
ucl Tyr, E6 04
0 r a a
AUTO LICENSE NO. TOTALS
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, after allowing all just credits
end that no part of the same has been paid.
Date
i FEB
10 ll�
�r BY fP
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.
364694 Jones, Joshua Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2110111 Reimb Mileage 1/10 2/4/11 10.97
Total 10.97
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
20
Clerk- Treasurer
Voucher No. Warrant No,
364694 Jones, Joshua Allowed 20
In Sum of
10.97
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members
Dept
1081 -4 Reimb 4343000 10.97 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
Signature
10.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund