HomeMy WebLinkAbout163658 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361845 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS CAMPBELL CHECK AMOUNT: $15.80
CARMEL, INDIANA 46032 88 E BLOOMFIELD LN
WESTFIELD IN 46074 CHECK NUMBER: 163658
CHECK DATE: 9/17/2008
DE PARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1201 4343002 15.80 EXTERNAL TRAINING TRA
,r
I
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER AUTO MILEAGE
DATE FROM TO READING NATURE OF BUSINESS MILES 5s-. S a
POINT POINT START FINISH TRAVELED PER MILE
5 ?A Lt 1. 1�tU+I C9 tit T�1 RGlZc7.l 2� rt tV M0 Co �1EdrL�k I� z:+
O
AUTO LICENSE NO. TOTALS
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 due, after allowing all just credits
and that no part of the same has been paid. A
D
pvv� G�l
ate q-1�'l��
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
That it is apparently I correct
L incorrect
Disbursing Officer
On Account of Appr priation No. -for
a
CL R.
w' o
m m
Allowed 19_ n a
E
in the sum of ro m
CD
a a tr
C
m
a
N �y
c0 CD
(fl
a
0
0 e m
(Board or Commission) O 19
c. ro
a
FILED a
M
rt M
Q2 M
rn
(Official Title) O H
o
0
m
_1
A.E. ROYCE CO., INC- MUNCIE, IN 01136 SL
_Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Doug Campbell Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
15:80
Total
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.
09 5 008
ALLOWED 20
Doug Camp
IN SUM OF
$15.80
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1201 430-09 8o materials or services itemized thereon for
which charge is made were ordered and
received except
20
gnai
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund