HomeMy WebLinkAbout165661 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 361046 Page 1 of 1
ONE CIVIC SQUARE LISA BERRY
0 CHECK AMOUNT: $31.65
CARMEL, INDIANA 46032 iiia2 SHAG BARK TRAIL
'i•,- o,'��:�, CARMEL IN 46032 CHECK NUMBER: 165661
CHECK DATE: 1111212008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1125 4342100 5.32 POSTAGE
1125 .4343000 26.33 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM 110. 11+1 (19eq
MILEAGE CLAIM
TO
1GCVFRNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR,
(OFFICE, BOARD, DEPARTMENT OR INSMU TIQN)
24D FROM TO T`S READ READING i, AUTO MILEAGE
NATURE OF BUSINESS
POINT POINT START FINISH I TRAVELED C PER MI LE S
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AUTO LICENSE NO. TOTALS i L
SPEEDOMETER READING columns are to be used only when distance between point= cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1853, I hereby certify that the foregoing account.is just and correct, that the amount claimed isle Ily due, after aliowi all just credits r
and that no part of the sa a has been paid,
Date
r
RECFTV
OCT 2 7 2008
t
BY: E
Carmel 0 clay
Parks &Recreat
Employee Expense Reimbursement Request
Date of Fund Account Account
Rece Vendor listed on receipt Line Budget Description Amount Purpose of Expense
a AA
6
F T
T 2 7 2.
All receipts should be attached in the same order as listed above. 4 aa
No sales tax will be reimbursed. TOTAL: J
Employee Name (print)
Address
Check
payable to: City, St, Zip
Signature: Approved by
Date: a- Date: `y
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative%Forms\Staff Forms \Employee Exp Reimb Request
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.
361046 Berry, Lisa Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22108 Reimb. Mileage 718/08 10/22/08 26.33
10/22/08 Reimb. Postage Certified letter 5.32
Total 31.65
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
Voucher No. Warrant No.
361046 Berry, Lisa Allowed 20
In Sum of$
31.65
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #f'rITLE AMOUNT Board Members
Dept
1125 Reimb. 4343000 26.33 1 hereby certify that the attached invoice(s), or
1125 Reimb. 4342100 5.32 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
31 -Oct 2008
'4 L
Signature
31.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund