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HomeMy WebLinkAbout197810 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 364943 Page 1 of 1 ONE CIVIC SQUARE VICKI RUBIO CHECK AMOUNT: $53.55 2 CARMEL, INDIANA 4603 CHECK NUMBER: 197810 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 53.55 TRAVEL FEES EXPENSE PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 119SS MILEAGE CLA (GOVERNMENTAL UNI11 ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD. DEPARTMFNT OR INsniUTION) FROM TO SPEEDOMETER AGE DATE I READING AUTO 2P 4 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED EA MILE t r 1 d _(L'— 0 J 1 c. c d' "A Y 7 fto no cv s i o "V 06 S AUTO LICENSE NO. i TOTALS Iv� 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- legal�e, of a iowing all just credits end that no part of the same has been paid. Date /AI/ rJ ip yy rl 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. 364943 Rubio, Vicki Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4129111 Reimb Mileage 411 4129111 53.55 Total 53.55 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 20_ Clerk- Treasurer Voucher No. Warrant No. 364943 Rubio, Vicki Allowed 20 In Sum of 53.55 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1081 -3 Reimb 4343000 53.55 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 1 1'r-1 �-—'L-21�� Signature 53.55 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund