HomeMy WebLinkAbout166641 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360282 Page 1 of 1
1 ONE CIVIC SQUARE ALICIA DECKARD CHECK AMOUNT: $73.71
?o CARMEL, INDIANA 46032 8147 W 1050 S
FORTVILLE IN 46040 CHECK NUMBER: 166641
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 73.71 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GrNEAALFORM 110. I01 (1486)
MILEAGE CLAIM t r1 C k- and
ro
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO, FOR
(oF710E, BOARD, DEPAATT¢M on 1NsrminoN)
SPEEDOMETER
2 D FROM TO READING NATURE OF BUSINESS MILE R E ',7�
POINT POINT START FINISH TRAVELED
MILE
i f
tI 11 �Us�
It 6 I t f Z
b ,w. 4 -7 S.
nn
AUTO LICENSE NO. TOTALS /oL
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 ue, after al' q all just crkdifs
and that no p�rt of he has been paid.
Date
J J
DEC o 1
2DQ8
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
360282 Deckard, Alicia
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
73.71
11/29/08 Reimb. Mileage 11/3/08 11/30/08
Total 73.71
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.
360282 Deckard, Alicia Allowed 20
In Sum of
f
73.71
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 73.71 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
3 -Dec 2008
&hb/Ym7u)u
Signature
73.71 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund