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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 ru co 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