HomeMy WebLinkAbout156969 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 360484 Page 1 of 1
`i A ONE CIVIC SQUARE AMY BALDAUF
CARMEL, INDIANA 46032 9441 BENCHMARK DR APT B CHECK AMOUNT: $96.20
INDIANAPOLIS IN 46240 CHECK NUMBER: 156969
CHECK DATE: 3151200$
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 96..20 TRAVEL FEES EXPENSE
I
r
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FOAM,NO, 101 (1986)
MILEAGE CLAoIM �l i P� ECF:.�
(GOVERNMENTAL UNIT)
3
ON ACCOUNT OF APPROPRIATION NO. FOR FEB 1 1 2008
(OFFICE, BOARD, DEPARTMENT OR INSTITUTIO141 i BY
FROM TO
SPEEDOMETER AUTO
DATE READING MILEAGE
NATURE OF BUSINESS MILES a p S x
POINT POINT START FINISH TRAVELED PER MILE
UW o c2 vv0yt� 5.5:
G 7 bVLaYI rno�L ROW
.Jan I C) V'p n/� 0Y1a
Srv1 v� 0 5
J aV\ t k Cft
rY't ow U n U ri Ce i I 6
MOK OW n 6 n 5
Im Y) W
C�vl to LA r k&�, t
Jan (o o
25 o. Y tWnbn i n r onw 2-b;
a n 7n
V 2
n o o Sm
Z .Srn C r u 7,0
onb S ra rn
'F-eb W
v
t F o Ylp rat e fia �D 2 -0
KOVI 7.0
AUTO LICENSE NO. TOTALS O a-5 �0
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 du after allowing all just credits
,end that no part of the same has been paid.
Date
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
y
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Amy Baldauf Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/08 reimb. mileage reimbursement 96.20
Total 96.20
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.
Amy Baldauf Allowed 20
In Sum of
96.20
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343000 96.20 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
29 -Feb 2008
Signature
96.20 r
Cost distribution ledger classification if Title(
claim paid motor vehicle highway fund