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165663 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 361920 Page 1 of 1 ONE CIVIC SQUARE DAVID BITTELMEYER CHECK AMOUNT: $93.60 CARMEL, INDIANA 46032 8195 WESTFIELD BLVD INDPLS IN 46240 CHECK NUMBER: 165663 CHECK DATE: 11/1212008 DEPARTMENT ACCOUNT PO NUMBER I NVOI CE NUMBE AMOUNT DESCRIPTION 1046 4343000 93.60 TRAVEL FEES EXPENSE r PRESCRIBED BY STATE BOARD 03 ACCOUNTS GENERAL }'ORM 110. 103 (MG63 MILEAGE CLAIM (GOVERNMENTAL UNITI ON ACCOUNT OF APPROPRIATION NO. FOR (OE71C HOARD, DEP"TMENT OR INST=IOX) SPEEDOMETER AUTO MILEAGE D TE FROM TO I READING MATURE OF BUSINESS MILES a S$ c a POrncT POINT START FINISH TRAVELED PER WLr o E `r$ 4 1 S-f 9 -3 Z. PAY m fi rST S tag 10 OS C T Wren PO tJ (t S 8 S `18 6 Y h. 4 t o4 Ma .NO SuS7_f $�t87`r PA M L4 t f3 f 0 0% Sti8 -7 S' 19 G 1T W t o 13 c,"T 0 0 S'A a.3 9 a 3� Gt J t c 1 L d n7 Li 9 7 1 g qq7 9 V. n 1p t 0tJ0 9 �1S Z PA YJM (v� 10 1 _{�T off© 55 18 SSoz ro t i c'T N 2�0 5 9 Sp G6 P 14 Y BE I o T N l-o RO -S 50 S!, PA YN E 1 4 2-% i QLJ�' $5e9Z 8Stoo '4 to to 7'1 e,•T SON SS1214 14 i S 1AGP0 85l a 3 S51 7& S 4 z Me 00 514 z 11 L Too c°t nNa g�zz_� s�z z 9 Pq ti1JT S t w�o+� P6 Zu S $5 ZSte fs N� 8 E1 C-s to CT R15r�IlJ 0 5PI i L tG oS Stiat3 C�F-°T' S\x 1�E5 t►•7 A'CTIC S 1-i 6A ta t cti e.� S m a 0uq 47 LA eP S f. t CS a►se*� ti4't `1 q3 i.WP ro AUTO LICENSE NO- TOTALS 160 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 aB just credits end that n p rt of the same has been paid. Date OCT 3 208 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. 361920 Bittelmeyer, David Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/31/08 Reimb. Mileage 10/06/08 10/31/08 93.60 Total 93.60 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Bittelmeyer, David Allowed 20 361920 In Sum of 93.60 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Reimb. 4343000 93.60 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 -Nov 2008 P &&MMMJL) Signature 93.60 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund