HomeMy WebLinkAbout157046 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 358826 Page 1 of 1
ONE CIVIC SQUARE EDDIE EDEDUWA CHECK AMOUNT: $49.61
CARMEL, INDIANA 46032 13017 E 131TH STREET
FISHERS IN 46037 CHECK NUMBER: 157046
CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
:905 4343004 49.61 TRAVEL PER DIEMS
h..cib.d by Beal. 9oard o: Ae ta.
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MILEAGE CLAIM
(GOVERNMENTAL UNITI TO
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ON ACCOUNT OF APPROPR1ATiON NO. FO
tOFFICE. aOARD, 4EPARTMENT OR INSTITUTION)
SPEEDOMETER I AUTo MILEAGE: DATE FROM TO READING+ MILES
?OINT POINT NATURE OF BUSINESS TRAVELED PER MILE
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AUTO LECENSE NO. TOTALS 93
+SPEEDOMETER READING columns are. to be used only when distance between points cannot be determined by fixed mileage or official highway map. S
Pursuant to the provisions and penalties of Chapter 155, Acts 1953. 1 hereby certify that the foregoing account is just oral correct, that the amount claimed is legally due. alter allowing lust red
and that no part of the same has been paid.
Date �f
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n No. Warrant No. I have examined the vv tl n.:ciaim and hereby
IN FAVOR OF certify as follows,
That it is in proper form.
'That it is -duly authendoated as require-d
by law.
That it is based up
an statutory authority.
That it is apparently ti correct
incorrect
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