HomeMy WebLinkAbout160338 06/10/2008 CITY OF CARMEL, INDIANA VENDOR. 085325 Page 1 of 1
ONE CIVIC S"DUARE STEVE ENGELKING
CARMEL, INANA 46032 6221 WINFORO DR CHECK AMOUNT: $151.49
4$' INDIANAPOLIS IN 46236
CHECK NUMBER: 160338
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1205 4343002 151.49 EXTERNAL TRAINING TRA
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PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM S'�Ver
TO
iii y Dl� ����L� �.U�iAf�S✓4'
(GOVERNMENTAL uxrr) ON ACCOUNT OF APPROPRIATION NO. lZ�s FOR /2A "15L
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER
READING AUTO MILEAGE
NATURE OF BUSINESS MILES -�5b, S
POINT POINT START FINISH TRAVELED PER MILE
►VI►hY 2 C :r— A r+ ,c►c� T�►D� �S'i 6�0 Zn�4:t3,vA ✓✓tyo2 Al s 2Z
M zoo IN "CK- ,T,��,�NPr C'AameL, iJ(b Z vi
AUTO LICENSE NO. ���A�� QT 9 ".0 TOTALS
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 ue, after allowing all just credits
and that no part of the same has been paid.
pa
Date r' a'c �l
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
QN� That it is duly authenticated as required
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by law
t O" That it is based upon statutory authority.
That it is apparently correct
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Disbursing Officer
On Account of Appropriation No. for
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A. E. BOYCE CO., INC. MUNCIE, IN 01136 tJ t:' a
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'Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or 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
Steve Engelkinq Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/30/0 IvIlleage to French Lick and back $151.49
Total $151.49
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.
06/09/08
ALLOWED 20
Steve Engelking
IN SUM OF
$151.49
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 43-0--02- 49 materials or services itemized thereon for
which charge is made were ordered and
received except
20
gnat
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund