HomeMy WebLinkAbout163779 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 360926 Page 1 of 1
ONE CIVIC SQUARE SHAVONNE HOLTON
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CARMEL, INDIANA 46032 8001 CANARY LANE, APT A CHECK AMOUNT: $38.61
INDIANAPOLIS IN 46260 CHECK NUMBER: 163779
CHECK DATE: 9/17/2008
DEPA AC COUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 38.61 TRAVEL FEES EXPENSE
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AUTO LICENSE NO 707ALS
SPEEDOMETER READING columns are Io be used only when distance between points cannot be determined by fixed mileage a, official highway .nap.
Pursuant Io the provisions and penallies o1 Chapter ISS, Ads M9 I hereby certify that the icregging account is jast and colred, [he[ the amount claimed i Ily u ft aG7 liowing a1I just credits
rod that no art of the same has haen paid.
Date 1/_ sr
ED
AUG 2 6 2008
`I:
Claim No. Warrant No I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is is proper form.
That it is duly actheeccated as required
by law
That it is based upon statutcry authority
That it is apparently ivcv @rt
ect
4
On Accourd of A ppropria lion No. for Disbursing Office.
O P a
0.
u rvry F-
Allowed 19_
in the sum ai n m a
m
(9aa.d as Caai m
2
O
0 a
(Official Trills)
n m
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t
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.
Holton, Shavonne Terms
8001 Canary Ln Apt A Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8126/08 Reimb. Mileage 8/1/08 8/18/08 38.61
Total 38.61
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_
Cierk- Treasurer
i
Voucher No. Warrant No.
Holton, Shavonne Allowed 20
8001 Canary Ln Apt A
Indianapolis, IN 46260
In Sum of
38.61
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 38.61 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
27 -Aug 2008
Signature
38.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1