HomeMy WebLinkAbout164904 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 361801 Page 1 of 1
q ONE CIVIC SQUARE ALYSSA REYNOLDS
CARMEL, INDIANA 46032 11410 BURKWOOD DRIVE CHECK AMOUNT: $45.63
CARMEL IN 46033 CHECK NUMBER: 164904
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1:946 4343000 45.63 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM no(�C�
TO S
4,
(GOVERNMENTAL UNIT) j
ON ACCOUNT OF APPROPRIATION NO. FOR
i
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER.
FROM TO AUTO MILEAGE
DATE READING NATURE OF BUSINESS MILES (g S'%15 0
0 POINT POINT START FINISH TRAVELED PER MILE
2 6V1 ro Fa
IV M t~
Ti
to
AI J i J c
1 it S O
3 D
330
i l Mrs L
in
17�" 3 3
3 i IS j
23 i�E S
N 3, o j
h�
1 V114
AUTO LICENSE NO. TOTALS
i
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 i
end that no pmt me has been paid. I
Date
OC 0 1 2008
::Y:
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.
Terms
361801 Reynolds, Alyssa
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
45.63
9/30/08 Reimb. Mileage Sep'08
Total 45.63
I 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.
361801 Reynolds, Alyssa Allowed 20
In Sum of
45.63
i
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 45.63 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
1 -Oct 2008
Signature
45.63 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund