HomeMy WebLinkAbout165727 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 360417 Page 1 of 1
ONE CIVIC SQUARE JESSICA DAVIS
CHECK AMOUNT: $61.43
CARMEL, INDIANA 46032
CHECK NUMBER: 165727
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 61.43 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO, 101 (INS)
MILEAGE CLAIM f tS
l/t V
ON ACCOUNT OF APPROPRIATION NO. FOR
FFICE, BOARD, DEPARTMENT O II IN N smvr� 6 TiQNNj_ II /l
SPEEDOMETER
DATE FROM TO READING AUTO
NATURE OF OF BUSINESS MILES qhl
POINT POINT START FINISH 1'AAVELED
r
i
If
1
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, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally du after aliowing all just cr s,-
end t has been paid.
Date
OCT 2 8 2008 °��3��c�8
BY:
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERALFORN NO. 101 (1986)
MILEAGE CLAIM
T O
La-MEL-cLL,A�
e� (GOVERNM UNIT)
ExT614 GfNfM ON ACCOUNT OF APPROPRIATION NO. FOR
(OF10E, H AAD, DERARTMENr OH 1N ION)
DATE FROM TO
SPEEDOMETER AUTO 11UAGE
READING S&
4 NATURE OF BUSINE56 TRAVELED a E
POINT POINT START FINISH TRAVELfiD PER MILE
WI ILA
1
1
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. A i
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 du fter allowing all just credits'.
and that no part of the same has been paid.
Date
0 C T 2 8 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.
Davis, Jessica Terms
r
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/30/08 Reimb. Mileage 8/12/08 9/30/08 61.43
Total 61.43
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.
Davis, Jessica Allowed 20
In Sum of
61.43
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 61.43 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
31 -Oct 2008
Q '(JI I XX/ 1 Y m lX/ 1,
v
Signature
61.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund