HomeMy WebLinkAbout159328 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 358991 Page 1 of 7
Q� ONE CIVIC SQUARE GEORGIANNA EDWARDS
CARMEL, INDIANA 46032 1830 E 67TH STREET CHECK AMOUNT: $133.19
INDIANAPOLIS IN 46220 CHECK NUMBER: 159328
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 133.19 TRAVEL FEES EXPENSE
1
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLApIM r caw �7ED
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR APR S 2008
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) BY'
FROM TO SPEEDOMETER AUTO MI EAG�
DATE READING NATURE OF BUSINESS MILES 5
o lQQ7 POINT POINT START FINISH
TRAVELED PER MILE
D
ii 0
k k 2-1
Z
'Z 0
2- c>
v
it Z
AUTO LICENSE NO. TOTALS n j(
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, after allowing all just credits
2nd that no part of the same has been paid.
Date
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO O -Ind
(GOVERNMENTAL' UNIT)
ON ACCOUNT OF APPROP TION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO PEE
AUTO MILEAGE
NATURE OF BUSINESS MILES 0
I Q 7 POINT POINT START FINISH TRAVELED PER MILE
7 o L-1
I �I LI
i+
i(
II
c
11 i+
3
I
tt L1
bo
r �1 3
iA
r�
j
AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be used only when distance between- points cannot be determined by fixed mileage or official highway map.
Pursuant toAhe 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 allowing all just credits
end that no part of the same has been paid.
Date
i
I
PRESCRIBED BY STATE BOARD OF ACCOUNTS n GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO v`
(GOVERNMENTAL' UNTT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READI SPEEDOMETER NATURE OF BUSINESS AG
AUTO MILEAGE
DATE
0 �Q 7 POINT POINT START FINISH TRAVELED E Q
PE R MI
h
9
r
lea
ICA
U�
1 13
0 1 h
3
�3
AUTO LICENSE NO. TOTALS 0 93 H
+SPEEDOMETER READING columns are to be used only when distance between- points cannot be determined by, fixed mileage or official highway map. r7 P7
Pursuant toAhe 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 allowing all just credits
and that no part of the same has been paid.
Date
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM 'LJI,L��S
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER.
DATE FROM TO READING NATURE OF BUSINESS AUT S O° MILEAGE
Q
POINT POINT START FINISH TRAVELED PER MILE
L'
D
D° eyil
n
1
cM
V q
AUTO LICENSE NO. TOTALSn.�
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
�d c� 1
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 aim s le ally due, after allowing all just credits
2nd that no part of the same has been paid. 1/7
Date
'�b� 3 o�q
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.
Georgianna Edwards
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4117108 Reimb mileage 133.19
Total 133.19
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.
Allowed 20
Georgianna Edwards
In Sum of
133.19
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT#/TITLE AMOUNT
1046 Reimb 4343000 133.19 1 hereby certify that the attached invoices
Y fY O. 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
ignat r
133.19 Business Se ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
�I