HomeMy WebLinkAbout195455 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS
CHECK AMOUNT: $186.00
CARMEL, INDIANA 46032 634 NORTHVIEWAVENUE
r;o INDIANAPOLIS IN 46220 CHECK NUMBER: 195455
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 186.00 TRAVEL FEES EXPENSE
PRE5CROLD BY 5TATE 50-13 OT ACCOURrs GENT.BAL VORW 11C. 101 UM)
MILEAGF CLAIM
I UNI EXrAL UNITI ON ACCOUNT OF APPROPRIATION NO. FOR
SPEEDOMETER
DATE FROM TO 9EA'DI'.4r. WUA.GE
F NATURE OF BUSINESS MILES ct, I
VOWT POINT FINISH P" 141LE
\N C-
X
AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be used only •hem distance between points cannot he determined by fixed mileage or official highway map.
us
Pursuant to the pro,isious and penalties of Chapter 155, Acts 1953, 1 hereby certify Thal the foregoing account 13 just and correct, that the amount claimed is legally due, after 11 nquic] a just creel -itt-
,nd that no an of 11— --a has been paid
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Date
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M 0 2 ,011
BY:
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ixtSCAISZD By ]TAIL 6VAAV of ACaaUN[S GrI+rRAi faAU Nc, IPI two
MILEAGE CLAIM
so_ TV1.R �1rc�A iDDO�1 x.-00
(GavlA m"rAL UNM ON ACCOUNT OF APPHOPIUATION NO. FOR �.1.. 1_.1 n�� l�� �S
V (OlZCP BOxxp, DEPART OP l.nTnlrl ON)
FROM TO
_HEADING r AUTO NLL AGE
NATURE OF BUSINESS Mn-£S c
POINT POINT START FINISH TRAVEi'm f.'EA NILE
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AUTO EICENS£ NO. TOTALS I TC
SPEEDOMETER READING columns ere to be used ondy when distance belween points cannot be determined by fixed mileage or official highway map.
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Pursuan3 to tale provisions and penalties of Chapter 155, Acts 1953, d hereby cartidy Thl the foregoing account is just and correct, that the amount claimed is legally dua, after aliawing red
end that no part of the same has been paid.
Date
P f
r
r E
BY:
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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/11/11 Reimb. Mileage 10/25 12/17/10 186.00
Total 186.00
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
1
Voucher No. Warrant No.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of
186.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -10 Reimb. 4343000 186.00 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
10 -Mar 2011
x3
Signature
186.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund