HomeMy WebLinkAbout158549 04/15/2008 *R CITY OF CARMEL, INDIANA VENDOR: 360469 Page 1 of 1
r ONE CIVIC SQUARE CONNIE MURPHY CHECK AMOUNT: $17.17
CARMEL, INDIANA 46032 9HENSELCT
CARMEL IN 46033 CHECK NUMBER: 158549
CHECK DATE: 4115/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 17.17 TRAVEL FEES EXPENSE
I
I
3.
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM VE�
TO
(GOVERNMENTAL (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING NATURE OF BUSINESS MILES M
5O Q
POINT POINT START FINISH TRAVELED PER MILE
If
CYO .i717
00
L
Cam° r D
G� DO
r0 O
00
c-7 z�
AUTO LICENSE NO. TOTALS l
f 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 e,lafte lo ing all just credits
and that no part of the same has been paid.
K 75�
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
o tr a
p- Ln a
rn
a
m o
c
p A
Allowed 19 k a
in the sum of
N
m (D
w
m a
a
m m
ry
to 't
I cD tD 0 N
J
P. a
t m
rL n
0
0 m
(Board or Commission) O o
a(D ZT
a
FILED CD
a m
C*' p
a 0 w
m
a
(Official Title) 0
0 co
0
t
A.E. ROYCE CO., INC. MUNCIE, IN 01136
ACCOUNTS PAYABLE VOUCHER
f 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.
Connie Murphy Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/27108 reimb Mileage 17.17
Total 17.17
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.
Connie Murphy Allowed 20
In Sum of
17.17
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 reimb 4343000 17.17 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
14 -Apr 2008
A n tur
17.17 Assistant i ctor
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund