HomeMy WebLinkAbout197612 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN DECKER CHECK AMOUNT: $155.90
CARMEL, INDIANA 46032
CHECK NUMBER: 197612
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 155.90 TRAVEL FEES EXPENSE
Cf�er
PRESCRIBED BY STATE BOARD OF ACCOUNT5 GF3IFAAL FORW NO. ICI 0986)
MILEAGE CLAIM
TO
IOOVERNMENFAL UN171
ON ACCOUNT OF APPROPRIATION NO, FOR
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'sPEEDOMeTER
DAT FROM TO I READING NATURE OF BUSINESS NU LESS c
2Q POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS b 7
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 legally due, after aliowing all just credits
and that no part of the same has been paid.
Date no�
MAY 1 6 201 1
BY:
PRPSCRIBLD BY STATE BOARD Or ACCOUNTS GERKRAL FORM NG- M1 (1986)
MILEAGE CLAIM
TO
1GCVEANM[NrAL VNITt
ON ACCOUNT OF APPROPRIATION NO. FOR
10F27CY, BOARD, DEPARTWXHT OR INSTnVT10A)
SPEEDOMETER
DATE FROM TO READING f A UTO
ILES Chi MILEAGE c
4u POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
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7,3
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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. t S/
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
end that no part of the same has been paid.
Date
M ftyt�
PAY 1 1!►
U
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.
363382 Decker, Meagan Terms
350 W Fall Creek Pkwy N Dr
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/16/11 Reimb Mileage 311 4118111 155.90
Total 155.90
f 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.
363382 Decker, Meagan Allowed 20
350 W Fall Creek Pkwy N Dr
Indianapolis, IN 46208
In Sum of
155.90
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 155.90 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
19 -May 2011
Signature
155.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund