HomeMy WebLinkAbout158435 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1
J ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $59.49
CARMEL, INDIANA 46032
CHECK NUMBER: 158435
CHECK DATE: 4115/2008
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343004 59.49 TRAVEL PER DIEMS
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y3 y..30 0 Y
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PRESZ BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
r, MILEAGE CLAIM
y rn e� TO 1 32 (0
(GOVERNMENTAL UNIT) L1 bp3
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
D ATE FROM TO LEADING NATURE OF BUSINESS MILS FPER L EAGE Q
POINT POINT START FINISH TRAVELED MILE "LEA
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AUTO LICENSE NO. TOTALS I '1 59 `7 7
SPEEDOMETER READING columns are to be used only when distance between points cannot be deternlined 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
and that no art of �thhe same has been paid. QIG
Date
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 j correct
1 incorrect
Disbursing Officer
On Account of Appropriation No. for
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A.E. ROYCE CO., INC. MUNCIE, IN 01136 s
4/14/08
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
Nancy Heck Purchase Order No.
1326 Cool Creek Court Terms
Carmel IN 46033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/1/08 Milea e Log Mileage reimbursement for City of Carmel business $59.49
Total 59.49
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
4/14/08
VOUCHER NO. WARRANT NO.
t
ALLOWED 20
%Nancy Heck IN SUM OF
1326 Cool Creek Court
Carmel IN 46033
59.49
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
M ileage Log 4343004 $59.49 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
I ure
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund