159311 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1
(f I ONE CIVIC SQUARE TIFFANY DETERS CHECK AMOUNT: $81.31
CARME +;INDIANA 46032 6264 N CENTRAL
INDIANAPOLIS IN 46220 CHECK NUMBER: 159311
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 D 81.31 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM No. 101 (1986)
MILE)AGE CLAIM
(GOVERNMENTAL UNIT) 7AP ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
1' SPEEDOMETER
DATE FROM TO 1 READING AUTO MILEAGE Q
NATURE OF BUSINESS MILES 4vW
2-00 POINT POINT ,START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be use only when distance between points cannot be determined by fixed mileage or official highway map.
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Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally of r allowing all just credits,
and that no part of the same has been paid. 4
l Date
y
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
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Allowed 19_ k m
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in the sum of$� m
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A.E. BOYCE CO INC. MUNCIE, IN 01136 O
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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.
Tiffany Deters
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/15/08 Reimb Mileage 3110/08 4/15/08 81.31
Total 81.31
I 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.
Allowed 20
Tiffany Deters
In Sum of
81.31
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1046 Reimb 4343000 81.31 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
12 -May 2008
gna r
81.31 Business S ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund