HomeMy WebLinkAbout155195 01/10/2008 J CITY OF CARMEL, INDIANA VENDOR: 359600 Page 1 of 1
c ONE CIVIC SQUARE HELEN BALLINGER CHECK AMOUNT: $34.96
CARMEL, INDIANA 46032 12913 CURRIER STREET
'.q CARMEL IN 46032 CHECK NUMBER: 155195
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CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 34.96 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS T L GENERAL Fe RM,NO. 1.01 (1986)
MILEAGE CLAIM II2
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(G RNMENT UNI Jlrv�
t� ON ACCOUNT OF APPROPRIATION NO. FOR
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(OFFICE, HOAHU, DE4ETMENT OA ITUTION)
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DATE FROM SPEEDOMETER I READING A UT O L MILEAGE C
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POINT POINT START FINISH TRAVELED PER MILE
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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 allowing all c it`s
and that no p rtofff thheeJ same has been paid.
Date
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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.
correct
That it is apparently incorrect
Disbursing Officer
On Account of Appropriation No. for
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A.E. BOYCE CO., INC. MUNCIE, IN 01136
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.
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Payee
Purchase Order No.
Helen Ballinger Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/29/07 none mileage reimbursement 34.96
Total 34.96
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.
Helen Ballinger Allowed 20
In Sum of
34.96
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 none 4343000 34.96 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
4 -Jan 2008
s gnat re
34.96 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund