HomeMy WebLinkAbout165729 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 360282 Page 1 of 1
ONE CIVIC SQUARE ALICIA DECKARD
CHECK AMOUNT: $126.36
CARMEL. INDIANA 46032 8147w10e0 s
FORTVILLE IN 46040 CHECK NUMBER: 165729
CHECK DATE: 11112/2008
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1046 4343000 126.36 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOBW IAC. 101 (105)
MILEAGE CLAIM 1 U.
[2t kakd
To
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPAATMSDIT OR INSTITUTION)
SPEEDOMETER
DA1tF FROM TO READING AUTO MILEAGE
0 NATURE OF BUSINESS MILES a C
2' POINT POINT START FINISH TRAVELED PER MILE
1 I, T 2.5
i Ci 16 f l 1 i 4 f C r L r l I
A 1 wi.s
ICI Ir4 c�N. r t
p Ci i 7
16 (1 1 IL4 n 1 Ll 1 1 4 q `--V
io t c '3 J'5 19 rf h L4
to il II IL fU3 1 Ci d
lot 26 144 Ci' tF 5 V 19 c Le'ILI I na,q iii 2 n e 2 u I L I
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Nil
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. VVV
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, due, after al wing all just credits
and that no part of the same has been paid.
Date
J
RECEIVED
80GZ 1�� OCT 3 1 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.
360282 Deckard, Alicia Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/31/08 Reimb. Mileage 10/06/08 10/31/08 126.36
Total 126.36
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
360282 Deckard, Alicia Allowed 20
In Sum of
1
126.36
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 126.36 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
4 -Nov 2008
Signature
126.36 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund