HomeMy WebLinkAbout195634 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 364943 Page 1 of 1
ONE CIVIC SQUARE VICKI RUBIO CHECK AMOUNT: $73.19
CARMEL, INDIANA 46032
CHECK NUMBER: 195634
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 73.19 TRAVEL FEES EXPENSE
PUSCRIBCD BY SrATC BOARD Or ACCOUNTS GCNCRAL FORK NG. 101 11986)
MILEAGE CLAIM V iJj id
CC TC
(GOVERNMENTAL UNIT
ON ACCOUNT OF APPROPRIATION NO- FOR
(OFiYCE, BO ARD, DEPARTWIN7 OR INSrE TION)
T
DATE SPEEDOMETER
READING f.
FROM TO AUTO MILEAGE
l
tt NATURE OF BUSINESS ICLES I
1L_ POW POINT START FINISH TRAVELED PER MILE
(kohl J
i rq
a►
FA 1 ti t 3 7
b S 3 5"7
I� e r 5 niooim
C C A g
a 1
t 4 1r t�l1
IUn
42 3-- Glick 6X00 oi+ 3 7
e;lLom tr S
�l r
AUTO LICENSE NO. TOTALS f 1 2 a f73 i9
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 1 J
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, aft aliowincall just credits
end that no pars of the same has been paid.
Date 1 /f i
"7
MAC
d 3 2011
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.
364943 Rubio, Vicki Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/1/11 Reimb Mileage 1/30 2/28/11 73.19
Total 73.19
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.
364943 Rubio, Vicki Allowed 20
In Sum of
73.19
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -3 Reimb 4343000 73.19 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
Signature
73.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund