Loading...
HomeMy WebLinkAbout197819 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 359285 Page 1 of 1 ONE CIVIC SQUARE VALESKA SIMMONDS CARMEL, INDIANA 46032 2703 E LYNN ST CHECK AMOUNT: $95.12 ANDERSON IN 46016 CHECK NUMBER: 197819 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 95.12 TRAVEL FEES EXPENSE PRCSCRIBCD BY STATC BOARD OF ACCOUNTS GENF.PAE FOAL[ 710_ wt Ll"5) MILEAGE CLAIM (GOVERN CNIAL VNM l ON ACCOUNT OF APPROPRIATION NO. FOR (OF ICE. BOARD. orlAATKEwr OA 1NSnTuTtc) tj SPEEDOMETER DATE FROM TO READING AUTO 21iLBAGE POITIT POINT START FINISH NATURE OF BUSINESS RAVELED PER MILE rn LC 1 PEG VIA t� EMS I 44 C4— pA pos -i y 2 I L CC IPA CC- ro I -Z rACC.. ft-XXI 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. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits and that n art oijhe same has been paid. Date dam' 11 r RA 0 Y 1011 PRESCRIBED BY STATE BOARD OF ACCOUNTS t GENERAL rollm NC. IM 11"s) MILEAGE CLAIM TO (GOVERNMENTAL UNITE ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE. BOARD. DEPAAT6CENT OR INSrrrrr[ON) FROM TO SPEEDOMETER AUTO MILEAGE DATE READING ES Z� POINT POINT START FINISH NATURE OF BUSINESS TRAVELED PER MILE -7 4y F J y� Z y- -T AUTO LICENSE NQ 48 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 aR just credits end that no part of the same has been paid. Date N ny t NA Y 16 2011 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. 359285 Simmonds, Valeska Terms 2703 E Lynn St Date Due Anderson, IN 46016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4129111 Reimb Mileage 3114 4127111 95.12 Total 95.12 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 i Voucher No. Warrant No. 359285 Simmonds, Valeska Allowed 20 2703 E Lynn St Anderson, IN 46016 In Sum of 95.12 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members Dept 1081 -4 Reimb 4343000 95.12 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 95.12 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund