HomeMy WebLinkAbout195444 03/16/2011 e CITY OF CARMEL, INDIANA VENDOR: 355994 Page 'I of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS CHECK AMOUNT: $77.78
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE
CARMEL IN 46033 CHECK NUMBER: 195444
CHECK DATE: 316/2011
DEPARTMENT ACCOUNT PO NU MBER INVOIC N UMBE R AMO DESCRIPTION
1202 4343002 77.78 EXTERNAL TRAINING TRA
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Prescribed by Stale Board of Accounts General Form No. 101 (1955)
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TO I� I IMF' �I DR.
(Governmental Unit) p.. MAR 1 4 2011
On Account of Appropriation No. for
(O ffice, Board, Department or Institution By
DATE FROM TO
ODOMETER READING` NATURE OF BUSINESS AUTO MILES MILEAGE
20 Point Point Start Finish TRAVELED PER MILE
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Auto License No. TOTALS?
SPEEDOMETER READING columns are to be used only when distance between points cannot be determiner by fixed mileage or official highway map.
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Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just 1 credits, and that no part of the same has been paid.
Date
cicam No. VJcuzcznt No. I nave examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
That it is apparently correct
incorrect
On Account of Appropriation Igo. for
Disbursing Officer
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Prescribed by State Board of Accounts General Form No. 101 (1955)
ti MILEAGE'CL 1U1
Q Q T d I ��i7"l ,s DR.
(Governmental Unit} i
F MAR 14 .2011
On Account of Appropriation No. for
(Office, Board, Department or Institution
DATE FROM y TO r}QpMETER.READING* NATURE OF BUSINESS AUTO MILES MILEAGE
20 Point Point Start Finish TRAVELED PER MILE
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Auto License No. TOTALS L o�
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. r.
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, and that no part of the same has been paid.
Date J�
t
Claim No. Warrant No. I have excmlined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
That it is apparently correct
incorrect
On Account of Appropriation No. for
Disbursing Officer
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Allowed 20 M
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in the sw i of o
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(Official Title)
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Pam Griffiths
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1202 030311 43- 430.02 $51.0 1 hereby certify that the attached invoice(s), or
1202 030711 1 43 430.02 6.78 bill(s) is (are) true and correct and that the
��r✓ materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 14, 2011
f
f
Director, IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03103/11 030311 $51.00
03/07/11 030711 $26.78
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