163922 09/17/2008 f CITY OF CARMEL, INDIANA VENDOR: 361437 Page 1 of 1
ONE CIVIC SQUARE KAITLYN REED
CARMEL, INDIANA 46032 12990 PORTSMOUTH DR CHECK AMOUNT: $16.06
CARMEL IN 46032
.o„ CHECK NUMBER: 163922
CHECK DATE: 9/17/2008
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 16.06 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
(GOVERNME L UNIT) ar Me i IN 4 DO 3 2
ca mo �i j� I ON ACCOUNT OF APPROPRIATION NO. FOR
1 (OF? E,, BOARD, DEPAR I< TMENT OR INSTITUTION)
SPEEDOMETER
FROM TO AUTO MIS
�DATE_ i READING
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
1 ESE
I 2M c)H V I< ,-r
i r c I I 1
f K,
IAUU f, I quo
I�
i
i
AUTO LICENSE NO. TOTALS �Q
VV
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 aliawing all just credits
and th t no part of the same has been paid. i
Date u J 2M
i
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. 19028 F
361437 Reed, Kaitlyn Terms
12990 Portsmouth Dr.
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8126/08 Reimb Mileage 6/18/08 8/05/08 16.06
Total 16.06
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
Voucher No. Warrant No.
361437 Reed, Kaitlyn Allowed 20
12990 Portsmouth Dr.
Carmel, IN 46032
In Sum of
16.06
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb 4343000 16.06 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
29 -Aug 2008
Signature
16.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund