HomeMy WebLinkAbout158797 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 359600 Page 1 of 1
ONE CIVIC SQUARE HELEN BALLINGER CHECK AMOUNT: $26.81
CARMEL, INDIANA 46032 12913 CURRIER STREET
CARMEL IN 46032 CHECK NUMBER: 158797
CHECK DATE: 4/30/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1125 4343000 26.81 TRAVEL FEES EXPENSE
i
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 1.01 (1986)
MILEAGE CLAIM
TO REC 3 T TED
OVERIN147TAL A UUNIT)
11 ON ACCOUNT OF APPROPRI TION NO. FOR
APR i 6 zaoa
ITUT
(OFFICE, BOARD, DEPARTMENT OR IN ION}
SPEEDOMETER
DATE FROM TO READING MILEAGE
NATURE OF BUSINESS AUTO 4 A G�E Q
AD 0 8 POINT POINT START FINISH TRAVELED PE
K bt wTE AN Kos{7
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AUTO LICENSE NO. TOTALS 4 a
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 alto ng all just credits
.'end that no part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority
That it is apparently I correct
l incorrect
Disbursing Officer
On Account of Appropriation No. for
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Allowed 19 M 0 w
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R.E. BOYCE CO., INC. MUNCIE, IN 0113E
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.
Terms
Helen Ballinger
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
26.81
4110108 reimb. Mileage Reimbursement
Total 26.51
I 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
1
Voucher No. Warrant No.
Helen Ballinger Allowed 20
In Sum of
26.81
ON ACCOUNT OF APPROPRIATION FOR
101 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 reimb. 4343000 26.81 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
22 -Apr 2008
1 8i lgnatLA
26.81 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund