156890 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 360473 Page 1 of 1
ONE CIVIC SQUARE KARIE WONG
CARMEL, INDIANA 46032 76770 BIG CIRCLE DRIVE
CHECK AMOUNT: $21.91
NOBLESVILLE IN 46062
CHECK NUMBER: 156890
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DE SCRIPTION
1046 .4343000 21.91 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS F 7� T(�'� I RECEIVED GENERAL FORM NO. 101 (1986)
I� EPT y IO MILEAGE CLAIM
Q TO r JAN 2 5 2008
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPRO IATION =BY.
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) DESC
SPEEDOMETER
DATE FROM TO READING
AUTO MILEAGE
NATURE OF BUSINESS MILES q 7, 5 x
---�jD POINT POINT START FINISH TRAVELED PER MILE
7 rl G 2
I h If Z
Lk
2g Moh rai 15 F/ ~tam c rc
12 7 07 won iddle Srho l�
121100 1 k o
2 u tles
2(
III 4 u f 2
21 i i
2 Ad i 4
001 Morion -AArm i n mail
1 5 .290? MVn on n u
AUTO LICENSE NO. TOTALS r
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. I
Pursuant to 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 d e, after allowing all just credits
and that no part of the same has been paid.
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 correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
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Allowed 19_ a 0 w
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in the sum of E'
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(Board or Commission) 0 0
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In
(Official Title) O
A.E. BOYCE CO., INC. MUNCIE, IN 011363 t M
i..
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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.
Karie Wong Terms
18770 Big Circle Dr. Date Due
Noblesville, IN 46062
1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/08 reimb. mileage reimbursement 21.91
Total 21.91
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Karie Wong Allowed 20
18770 Big Circle Dr.
Noblesville, IN 46062
In Sum of
21.91
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343000 21.91 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
13 -Feb 2008
gn re
21.91 Business erv" es Manager
Cost distribution ledger classification if e e
claim paid motor vehicle highway fund