163925 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361801 Page 1 of 1
ONE CIVIC SQUARE ALYSSA REYNOLDS
CARMEL, INDIANA 46032 11410 BURKWOOD DRIVE CHECK AMOUNT: $41.24
CARMEL IN 46033 CHECK NUMBER: 163925
CHECK DATE: 9/17/2008
DE PARTMEN T ACCOUNT PO NUM IN NUMBER AMOU DESCRI PTION
1046 4343000 41.24 TRAVEL FEES EXPENSE
i
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING AUTO MILEAGE
NATURE OF BUSINESS MILES
0 POINT POINT START FINISH TRAVELED
PER MILE
S
3,S
T ait P_RkW eVAW 3,'P
P w w U`y vJ A 0-Pi
Y
�Vlc�'P n (c) r
`1 9 A a i'-K�'
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o -D-E v� t^
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M I AW_ 3,0
RY
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 allowitlg all just c ed'ts
end that no part of the same has been paid.
Date AV
i
S E P U 2 2008
RY
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.
Reynolds, Alyssa Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/29/08 Reimb. Mileage 8/5/08 8/29/08 41.24
Total 41.24
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.
Reynolds, Alyssa Allowed 20
In Sum of
41.24
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO #or INVOICE NO. ACCT# /TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 41.24 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
2 -Sep 2008
Signature
41.24 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund