HomeMy WebLinkAbout161392 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 359980 Page 1 of 1
ONE CIVIC SQUARE EARNEST HILL
CHECK AMOUNT: $101.51
CARMEL, INDIANA 46032 19428 LINKS LANE
NOBLESVILLE IN 46062 CHECK NUMBER: 161392
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUM INVOICE N UMB ER AMOUNT DESCRIPTION
1047 4343000 101.51 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
C (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OF?ICE, BOARD. DEPARTMENT OR INSTITUTION)
DA E FROM TO SPEEDOMETER AUTO MILEAGE
READING FINISH i
POINT I POINT START NATURE OF BUSINESS TRAVELED a
PER MILE
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I
EF
AUTO LICENSE NO. 1A101A/VA 9 '7 4 6 6 aS/ 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 due, after allowing all just credits
end that no part f� same� has been paid. �y�
Date
t
4
4 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.
Hill, Earnest Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/27/08 reimb. Mileage to CPO Class 5/2/08 101.51
Total 101.51
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.
Hill, Earnest Allowed 20
�4 In Sum of
101.51
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 reimb. 4343000 101.51 1 hereby certify that the attached invoice(s), 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
I
3 -Jul 2008
Signature
101.51 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund