HomeMy WebLinkAbout197771 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365309 Page 1 of 1
h� ONE CIVIC SQUARE NICOLE PARR
CARMEL, INDIANA 46032 CHECK AMOUNT: $6.12
CHECK NUMBER: 197771
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CHECK DATE: 5/2612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 6.12 TRAVEL FEES EXPENSE
PRESCRIBED By STATE HOARD Or ACCOUNTS GENERAL FORM IIO. 101 1198b)
MILEAGE CLAIM
to—I, j i c
V
(GOVERNMENTAL UNITY T
pN ACCOUNT OF APPROPAIATION NO. FOR
(OFFICE. HOARD, DEPARnMNT OR INSTMINON)
�SPEE60METER
DATE READING
FROM TO AUTO MILEAGE
2b POINT POINT START FINISH NATURE OF BUSINESS TRAVELED Q
P M1L£
u l Celb
tm GC b
AUTO LICENSE NO. TOTALS �O
SPEEDOMETEf1 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 allowing all just credits
end that no arrtt7of the same has been paid.
Dale
l oll
KA
Y 1 6 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
Parr, Nicole Purchase Order No.
Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO
5/11/11
Amount
Reimb Mileage 1/4 5/11/11
6.12
Total 6.12
l 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.
Parr, Nicole Allowed 20
In Sum of
6.12
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -1 Reimb 4343000 6.12 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
6.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund