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HomeMy WebLinkAbout158361 04/15/2008 •1 �f CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1 t ONE CIVIC SQUARE TIFFANY DETERS CARMEL, INDIANA 46032 6264 N CENTRAL CHECK AMOUNT: $181.16 INDIANAPOLIS IN 46220 CHECK NUMBER: 158361 CHECK DATE: 4115/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPT 1046 4343000 181.16 TRAVEL FEES EXPENSE I I Claim No. Warrant No. 1 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 o tr a ain p CL tj En a 0 o M Allowed 19_ x a in the sum of w a m tr t m m rE a rn• (D m Q (D In a a p M a M P) ao n CY (Board or Commission) 0 rt a m a CL FILED m m m t� a_ m a p m m a (Official Title) o a 0 O (D �1 tr. A BOYCE CO., INC. MUNCIE, IN 01136 0 PRESCRIBED BY STATE BOARD OF ACCOUNTS R C-EI e/ n n GENERAL FORM NO. 101 (1986) MAR 2 1 2008MI IT SAGE CLAIM to T �l� CI AUo T (GOVERNMENTAL UNIT) Z 9 S ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) FROM TO SPEEDOMETER AUTO MILEAGE r Q� DATE NATURE OF BUSINESS MILES x 1 POINT POINT START FINISH TRAVELED PER MILE g o 1 on C Le P- n Vic j a rno»t C' V1 a ILI Z AA on 1CL o� t o O 1 Ako)ri i i Ly a 0 dldY`- cam= f'1 L C5 AUTO LICENSE NO. TOTALS l� SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 1 8 I 1 D 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,. a er allowing all just credits and that no par of he same has been paid. Date W 240� Carmel 0 Clay P�-EC IVED Parks &Recreation MAR :2 Y 2008 Employee Expense Reimbursement Request BY: Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 3 Z 54-&Cbu c i M U 43L fi'avd kcs �aww, 08 d,n n k X12 LuLv Iexi 5J�1ac g- i 10 oo 1 3 /drjvt /4 3 12 Ir or i 0' S I to 04 ./d n n 4 `>h? '1� ra-v o 00 4� Id-r n k All receipts should be attached in the same order as listed above. See Gl fi� GJ No sales tax will be reimbursed. TOTAL: Employeen Name (print) (i *My 5 Address 5 13 0 m rOSe— Ay Check payable to: City, St, Zip �l� IGr{/j(.1/7(? 15 AZ Signature: MAXA Approved by: Date: O Date: Business Services Division, Revised 3 -2 -07 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Carmel Clay C Parks &Recreati Employee Expense Reimbursement Request MAR 2 1 2008 BY: Date of Fund Account Account Receipt Vendor listed on recei t Line Budget Description Amount Purpose of Expense P ifa Lt 3060 }�a�e �e cis q.02 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employeen Name (print) 150.asy O-S S Y lf-Li -1— Address Check payable to: City, St, Zip Signature: Approved by: Date: Date: Business Services Division, Revised 3 -2 -07 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request ASSp 01, r a01 Z i m JCPenney SHAT "ERSh0.Y 2� +n 1' Aftersscc 7� FANy oo� DETE CA "EL� IN W -T -F r 1 t 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 Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/08 Reimb Req Travel for conference 86.67 3/21/08 Reimb Req Mileage 94.49 Total 181.16 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 181.16 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1046 Reimb Req 4343000 181.16 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 14 -Apr 2008 Signature 181.16 Cost distribution ledger classification if Title claim paid motor vehicle highway fund