HomeMy WebLinkAbout195613 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $36.87
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 195613
CHECK DATE: 3/1612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 36.87 TRAVEL FEES EXPENSE
PALSCRIBCD BY STATE BOARD OF ACCOUNTS
GENFAAL FORM No. IDI (INS)
r MILEAGE CL
O
TO P DIEM b 1% -43430
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(osi 10E,
BOARD, D� EPARTW3017 OR INSrrRRiON)
MILEAGE C_
FROM TO SPEEDOMETER AUTO
DATE I READING NATURE OF BUSINESS TAAVELED 5
POINT POINT START FINISH PER MILE
P�1Nt1D 4, J
MA t 3VttACA; .T 6 �t 2 to Z
s o c
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AUTO LICENSE NO- TOTALS c 3 a
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 claim is 1 du fter wing all just credits
and that n oS the same has been paid.
Dale
lo l l
2 2011
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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) PO Amount
2/25/11 Reimb Mileage 2/4- 2/28/11 36.87
Total 36.87
I 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
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
36.87
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -11 Reimb 4343000 36.87 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
Signature
36.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund