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160899 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1 ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $65.85 CARMEL, INDIANA 46032 CHECK NUMBER: 160899 CHECK DATE: 6/25/2008 DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER A MOUN T DESCRIPTION 1160 4343004 65.85 TRAVEL PER DIEMS i I i i payt PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGE CLAIM T° HP D Of Ca rmd I OOMMM/W (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BQARD, DEPARTMENT OR INSTITUTION) FROM TO SPEEDOMETER AUTO MILEAGE DATE READING NATURE OF BUSINESS MILES POINT POINT START FINISH TRAVELED PER MILE W rCh S l 1I drOr q bay r stn On S ma rch to I a. f ArnerlCC- ,S Ull t march f2 1 0 H Hal I Br ldde-w atc v r bacK L- twchP,vn 8 rc 13 I f" H r back. f m l'n H set ld Kct ous ��OSYC, 3; I. Ma rch -Q O C/ 1 Tot °s t te 4 onneuy nha 07 ra-r e too rch 2y 14a II Cannel! M* khoo/ rb t. Lem ran s cw4 t- Wind Cah -to-o r) q lWo 25 H o t/ wouN 0 orts Ma or s5= P.ss chalienae ii a d r March 28 ch H a ll mai doon 'S l h am lvnc 0/ Alan t Wke to cflk-dS Ke gr tane, 2 marclh 31 Hall Onrt N l t- W CK I tape Naf' cu hlt? .Ii onneaf p w �arme/ SeA, 1 f0 r I I Hall car me la pu h' I-I o o rrs e lah to Li nt Wild ..q-,N Am 1 17 all .Q l� 1 llau o t b v GG U r e� Lul CCt�rmeA I I ulcl 4 bov, half: Tra4t be- ?2P alt h r p est* t7 1stn Gt "no r p ork r 6m I ndy m om I tl Ord ft Hu N om 1 ronnergna ud earn io 110 4niehi V0 i U h Hal! Eyoad construe io i6vreS GODS c 'o r S 2to -"7 April a l 0, anaelira s Co e. h sr JLU to II 1ew M nt1'on ll1-Un PO y n "t 3 Cog nali ON's ry -a// a os- r1h Hal l H arm Iton Coun q sB1)kcau PR I au M AY 1 I Doo o' Toa e t b act- Ju-nah wl Sondyo #o reyi iect Z m4v 9 C1 Hal .t b'S ate. 1 bctuG mee wl I ra n(Ir a Yn r? VJ Z-r' t 2 M 2 lt`t?I/ B.MeVI© f "n S b Gt! ca till ni rarm x0 e �3 CA Hail In CL J f_ t do K n ee_tiho M lh 140 11 Ri Ch I es t ba-M u rmho o n 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. CConfitl vtd on next pctser,) 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 and that no part of the same has been paid. Date ✓�d 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 That it is apparently correct incorrect Disbursing Officer i On Account of Appropriation No. for o tr a 0 v a Allowed 19 o a 0 w in the sum of MD fD a y cu a co r g y 0) FJ to F CD 0 to a ac 0 0 (Board or Commission) a 0 FILED a rt a m p o n (D .�f y y a (Official Title) o D 0 C (D rt (D b p t N• A.E. BOYCE CO., INC. MUNCIE, IN 01136 n pale 2 PRESC RIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM NO. 101 (1986) MILEAGE CLAIM �1 t� City of Came) To _Nprt7GU �7�1� O j (GOVERNMENTAL UNIT) 4 ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE BOARD, DEPARTMENT OR INSTITUTION) DATE FROM TO SPEEDOMETER READING AUTO MILEAGE 1005 NATURE OF BUSINESS MILES POINT POINT START FINISH TRAVELED pER MILE May 19 C I Ha l) 13. MeVID t* InttrMrs t b0 49 d CA, o W r1i M t 2 a 016 iga 8, MC Id 'F Gtn a'P 6 01111W Rrb 00118mi'valle vl. IF J 70V 1W. g AUTO LICENSE NO. TOTALS 130: y "M X 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, 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 1 1 6r 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. That it is apparently correct incorrect Disbursing Officer On Account of Appropriation No. for o Cr a a y o M N Allowed 19 A w a w in the sum of N p: m a m Ei a cn o M CD M M a Q. o 0 A `C (Board or Commission) O 0 n CD M ..rt a FILED m A a a m a a a m (Official Title) O W O (D (D to tr. R• A.E. BOYCE CO., INC. MUNCIE, IN 01136 Q'. f Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 6/23/08 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 Nancy Heck Purchase Order No. One Civic Square Terms Carmel IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/18/08 Mi ea e Log Mileage rei mbursement Total 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 I VOUCHER NO. WARRANT NO. ..6/23/08 ALLOWED 20 Nancy Heck IN SUM OF One Civic Square Carmel IN 46032 65.85 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayors 4343004 Travel per Diem Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or Mileage Log 4343004 $65.85 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 20 Si ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund