HomeMy WebLinkAbout197777 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 360181 Page 1 of 1
t ONE CIVIC SQUARE KATHERINE PETSO CHECK AMOUNT: $23.74
CARMEL, INDIANA 46032 P 0 BOX 921
CARMEL IN 46082 CHECK NUMBER: 197777
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 23.74 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD Or ACCOUNTS GENFAALFOAY NG. IQ7 11986)
MILEAGE CL 74 7�
r( l V
1GOVEANMENTAL UNIT] ON ACCOUNT OF APPROPRIATION NO. FOR
lopacl. HOARD. 5EPAAT0347 OR wsrmnioN7
SPEEDOMETER SL�
DATE FROM To READING NATURE OF BUSINESS A MILES 1 4
z POINT POINT START FINISH TRAVELED PER MILE
r
c z�
AAUTO LICENSE NO. TOTALS 3
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
end that no part Of the same has been paid.
Date
C -q
MAY 1 6 1010
T''�
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.
360181 Petso, Kathy Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
516111 Reimb Mileage 5!6111 23.74
Total 23.74
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
360181 Petso, Kathy Allowed 20
In Sum of
23.74
ON ACCOUNT OF APPROPRIATION FOR
108 ESE,
PO# or INVOICE NO. CCT #/TlTLE AMOUNT Board Members
Dept
1081 -2 Reimb 4343000 23.74 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
T/
Signature
23.74 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund