HomeMy WebLinkAbout195897 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 358991 Page 1 of 1
1 ONE CIVIC SQUARE GEORGIANNA EDWARDS CHECK AMOUNT: $37.87
CARMEL, INDIANA 46032 1830 E 67TH STREET
oN co INDIANAPOLIS IN 46220 CHECK NUMBER: 195897
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 37.87 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS
ENEAAL FOAM NG. 101 11986)
MILEAGE CLAIM r 1 a r C/
[GOVERNMENTAL UNIT? ON ACCOUNT OF APPROPRIATION NO- FOR
[onficE, BOARD, DEPARTurNT OR INsiTruriON)
EEDOMETEii
DATE FROM TO �I SP READING f ALTO NILE
POINT POINT START FINISH TRAVEL
OF BUSINESS T�RAV LED
PE RR'
R
L v
c'I
DG
rj n L2 l
AUTO LICENSE 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 ally due, after allowing all just 't��'
end that no part of he same has been paid.
Date 0 G
33' R
I
MAR 10 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.
358991 Edwards, Georgianna Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2128111 Reimb. Mileage 218 2/24/11 37.87
Total 37.87
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
2Q_
Clerk- Treasurer
Voucher No. Warrant No.
358991 Edwards, Georgianna Allowed 20
In Sum of
37.87
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. A.CCT #f AMOUNT Board Members
Dept
1081 -9 Reimb. 4343000 37.87 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 -Mar 2011
Signature
37.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund