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HomeMy WebLinkAbout195113 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 364002 Page 1 of 1 coq *f ONE CIVIC SQUARE ASHLEY LIVINGSTON CHECK AMOUNT: $91.80 CARMEL, INDIANA 46032 3404 WOODFRONT PLACE INDIANAPOLIS IN 46222 CHECK NUMBER: 195113 CHECK DATE: 3/212011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 91.80 TRAVEL FEES EXPENSE PRrSCRIBM BY STATE BOARD Oi ACCOUNTS CENTRAL FOAM NO. 101 (198✓;) MILEAGE CLAIM FAY 1 j V1 Y 1 L.S NUENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO FOR T (OMCE, BOARD, DUAATW330T Oa 1N3nTUrtON) SPEEDOMETER DATE FROM TO I READING A UTO MILES [ry c Z° POINT POINT STAR7 FINISH NATURE OF BUSINESS TRAVELED PEIf MLLE W 1 1 'r o T n p C "n i r a r 7-6 L I C 1 AUTO LICiNSE NO. TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount Claimed is legally due, after aiiowing all just credits and that no part of the same has been paid. Date D J' rl q�qg-o ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL. An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 364002 Livingston, Ashley Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 218111 Reimb Mileage 114 2/8/11 91.80 Total 91.80 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 364002 Livingston, Ashley Allowed 20 In Sum of$ 91.80 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members Dept 1081 -2 Reimb 4343000 91.80 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 kujn. Y) mvz) Signature 91.80 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund