166644 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1
ONE CIVIC SQUARE TIFFANY BUCKINGHAM
CARMEL, INDIANA 46032 5130 PRIMROSE AVE CHECK AMOUNT: $49.73
INDIANAPOLIS IN 46205
CHECK NUMBER: 166644
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRIP
1046 4343000 49.73 TRAVEL FEES EXPENSE
of
PRESCRIBED BY STATE BOARD OF AC[OUNTS MILEAGE CLAIM GENERAL FOAM ]1G. It') (]9667
IOOVEANMENTAL 117
•�i� ON ACCOUNT OF APPROPRIATION NO. FOR
(OHICE, BOARD, DEPARTNIEKT OR INS =108}
D T FROM TO -._S;P -F DOG AUTO MIL AG�B
2
POINT POINT START FINISH NATURE OF BUSINESS T•pAVEI.ED d�
PER MILE
It t I ✓l.0 C-
1�. Ma vt o n1 f ►'l
1 C D
1 I M nyl o
11 1 7-
111Cr l P. V itAlIj I
I I
n l 2008 1
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I I I
AUTO LICENSE NO- TOTALS I 1
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, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally dAe, after aliowing 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
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
358408 Buckingham, Tiffany Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/21/08 Reimb. Mileage 11/11/08 11/21/08 49.73
Total 49.73
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.
358408 Buckingham, Tiffany Allowed 20
In Sum of
49.73
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. A.CCT #fTITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 49.73 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
1 -Dec 2008
I.
Signature
49.73 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund