HomeMy WebLinkAbout166544 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350221 Page 1 of 1
ONE CIVIC SQUARE LINDA ACOSTA
CARMEL, INDIANA 46032 C/O PARKS CHECK AMOUNT: $16.38
CHECK NUMBER: 166544
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 16.38 TRAVEL FEES EXPENSE
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PA[SCRIHfO BY STATE 80AAC7 OF ACCOi7NT5 GENF,AA11'OA71 NG. 301 (1986)
MILEAGE CLAIM
TO_
taovrAHMeNrA7 uxtn ON ACCOUNT OF APPROPRIATION NO. FOR �v
(OHICE, BOARD, DUAATTWq OR INSr=108)
SPEEDOMETER AUTO MTLFMGE
Z D FROM TO HEADING NATURE OF BUSINESS WL S
a POINT POINT START F[NISH TRAVELED PH MILE
V
1
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. l (p
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 credits
mend that no part of the same has been paid.
Date IFD
7 0EC 0 1 2008
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.
00350221 Acosta, Linda Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1211108 Reimb. Mileage 11/14/08 16.38
Total 15.38
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
2a
Clerk- Treasurer
Voucher No. Warrant No.
00350221 Acosta, Linda Allowed 20
In Sum of
16.38
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 16.38 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
3 -Dec 2008
Signature
16.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund