HomeMy WebLinkAbout164605 10/16/2008 .s- CITY OF CARMEL, INDIANA VENDOR: 361920 Page 1 of 1
ONE CIVIC SQUARE DAVID BITTELMEYER
1 CARMEL, INDIANA 46032 8195 WESTFIELD BLVD CHECK AMOUNT: $89.51
INDPLS IN 46240 CHECK NUMBER: 164605
CHECK DATE: 10/16/2008
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1046 4343000 89.51 TRAVEL FEES EXPENSE
I
PRESCAIBED By STATE BOARD OT ACCOUNTS GENERAL FOAM i +G. 10] INN)
MILEAGE CLToIM �aoii
IC40VERNMENTAL UNM ON ACCOUNT OF APPROPRIATION NO. FOR
E5�
(OFFICE, BOARD, DEPARn4XWT OR INSTMJTION)
SPEEDOMETEII AUTO MILEAGE
DATE FROM To READING NATURE OF BUSINESS trill ES Chi 5"Q
zd POINT POINT START FiNISK TAAV£LED PER MILE
UT
iI A
Lt
53 76 3 22'�
3 b
ZZ CT M o q e v S LA I 4t
Z L� a�Gn_ q 3
q zc( GT cJ n o $3 S 3 Z. �u- '-t1 G b
6 -n n Via~ of S a�.- C�
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,J AUTO LICENSE NO. TOTALS C/
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
5
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, i hereby certify that the foregoing account is just and correct,.lhat the amount claimed is legally due, aliotving all just credits
end that no part of the same has been paid. `D
Date
RC F
QCT 0 1 2008
BY:
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
Bitteimeyer, David
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
89.51
10!1108 Reimb. Mileage 918/08 10/01/08
Total 89.51
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
re I
;r
Voucher No. Warrant No.
Bittelmeyer, David Allowed 20
In Sum of
89.51
e
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
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PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 89.51 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
6 -Oct 2008
Signature
89.51 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund