HomeMy WebLinkAbout157036 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1
ONE CIVIC SQUARE TIFFANY DETERS
CARMEL, INDIANA 46032 6264 N CENTRAL CHECK AMOUNT: $80.24
INDIANAPOLIS IN 46220 CHECK NUMBER: 157036
CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 80.24 TRAVEL FEES EXPENSE
I
PRESCRIBED BY STATE BOARD OF ACCOUNTS RE C EIVE GENERAL FORM NO. 101 (196Gy
MILEAGE CLAIM FEB 1 3 2008
(GOVERNMENTAL UNIT)
G5 !11 ON ACCOUNT OF APPROPRIATION NO. FOR
L
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) I
DATE FROM TO SPEEDOMETER
READING AUTO MILEAGE 50.5
NATURE OF BUSINESS MILES 0
-0 POINT POINT START FINISH TRAVELED PER MILE
Pg 6 vgq)n
1 C
t yto V e I
1
I rt/t
Y�l�v Yt
/l0 ✓1
C i
/Z oo
f U I G -S
O D
I 6 s Z
o ►no ✓1
�6 0 Ci
l
k C-
T
1111 iwi
L)
V
Z
AUTO LICENSE NO. TOTALS C1 Z� V
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 due, t r aliowing all just credits
and that no part of the same has been paid.
Date
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,
f
That it is apparently correct 5` incorrect
Disbursing Officer
On Account of 'Appropriation No. for
0
m
P Z
Allowed 19
in the sum of
C
m
Y
b
n
N
0
a
M
0) rL n
0
0
(Board or Commission) T
w w
a
FILED EL r.
0 CD
m cn
w
CD
(Official Title) 0 m
o
0
O
C
A.E. BOYCE CO., INC. MUNCIE, IN 01136
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.
4'.
Payee
Purchase Order No.
Tiffany Deters Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/12/08 Reimb Req Mileage reimb. 80.24
Total 80.24
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.
Tiffany Deters Allowed 20
In Sum of
80.24
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1046 Reimb Req 4343000 80.24 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
29 -Feb 2008
Signature
80.24 wit Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund