HomeMy WebLinkAbout155267 01/10/2008 f CITY OF CARMEL, INDIANA VENDOR: 360282 Page 1 of 1
ONE CIVIC SQUARE ALICIA DECKARD
CHECK AMOUNT: $125.62
CARMEL, INDIANA 46032 8147 w ioso s
FORTVILLE IN 46040 CHECK NUMBER: 155267
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 125.62 TRAVEL FEES EXPENSE
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PRESCRMW BY STATE BOARD OF ACCOUNTS _GE1= RAL FORM NO. 101 (1988)
DPT
MILE��GE CLAIM
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(GOVERNMENTAL UNIT) 1, v ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DAVE FROM TO SPEEDOMETER READING ADO MIL Q
NATURE OF BUSINESS
PO POINT START FINISH TRAVELED PER MILE
r m Y2(iL 1 I ct �a
7 I'24 570 1' -(0377
1'L.0 I t 5 l2 1- te 4eq
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a :0 7 77a /a773a
10 1 7 777
w 25 v� t 1 7 '92 e -79 e
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AUTO LICENSE NO, {j TOTALS
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SPEEDOMETER READING columns are to be used only when distance between points cannot b1determined by fixed mileage or official highway. map.
Pursuant #o.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 flowing all just cr;
and that no part f the same paid.
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:Date f
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 correct
incorrect
Disbursing Officei
On Account of Appropriation No. for
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A.L. ROYCE CO., INC. bMCIE, IN 01136 n
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PRESCRMID g+ U D HY 5tESE BOARD OF ACCOUNTS GEti£RAL FORM' NO. 101 (ISM)
DEPT' l �j� MILE IGE CLAIM
LINE TO L cte't �i c� fly A R �007
(GOVERNMENTAL UNM
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, HOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING AUTO MILEAGE
NATURE OF BUSINESS M �`�S Q
POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS 2
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SPEEDOMETER READING columns are to be used only when distance between points cannot J determined by fixed mileage or official highway map.
Pnzsuant:to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the for going account is just and correct, that the amount claimed is leg y due, after allowing all just credits
and that no .part of the same has been Paid.
Dater
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 correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
a tr
P• v p.,
m.0 0
n
Allowed 19___.._ a m
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in the sum of 'a rr U�
CD P Y�
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0 m
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0
(Board or Commission)
H, 5
FILED
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(Official Title) +0. C
Cryry M,
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A.E., BOYCE CO., INC. MUNCIE, 89 61135 n
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
Alicia Deckard
Date Due
Invoice Invoice Description
Date Number
or note attached invoices) or bill(s)) Amount
47.53
11/14/07 reimb. mileage reimbursement 78.09
11/14/07 reimb. mileage reimbursement
Total 125.62
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.
Alicia Deckard Allowed 20
In Sum of
125.62
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343000 125.62 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 -Jan 2008
SigIe ture
125.62 Business i ces Manager
Cost distribution ledger classification if e
claim paid motor vehicle highway fund