HomeMy WebLinkAbout166685 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS CHECK AMOUNT: $106.47
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE
CARMEL IN 46033 CHECK NUMBER: 166685
MR ION G�
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 106.47 EXTERNAL TRAINING TRA
1,
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM I VA
6 l T i 1) I u i-L TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETE
+R AUTO MILEAGE MILES
19 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED 0
C PER MILE
Ci rc., 4 ?C a /6
8 P ore �3
D U� Cr -i 67 n �r D G� �c Z '91' 0 z Cc ,'L Cc c e V Gel
6 �c P, e,
S e ci s vL D
6 v
4- 6� �vl _c- c -3� r t'r✓
ti a cc J r� l
et
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o ODj 29 i/i "v Z 1 ?yl+ GCS
Oz C C 1 T e ,GIa"r ►1., �t, n it cam.
1 Ci i d C 3 l? t
a L
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AUTO LICENSE NO: TOTALS
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 legall due, after allowing all just credits
and that n part f the same has been paid.
Date
4
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,
correct
That it is apparently
incorrect
Disbursing Officer
On Account of Appropriation No. for
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p
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Allowed 19_ a a a
in the sum of tv M
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A.E. BOYCE CO., INC. MUNCIE, IN 01136 0
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
f TO A''1 l/I r n l�
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING NATURE OF BUSINESS MILES r 0
19 POINT POINT START FINISH TRAVELED PER MILE
623 OF 0 &e c2yC
O ze-C
to D S e ti d
/0/6- D 8 w"I lrt C
o
1 046 03 S Gc L �l t
C- C c 3 h'i'
G Lc -3 r i
6 1 y rte' i
p c _C4 w" 1 J f6r. J1 r 7
b Y 4 6i V1 C O '6 r
6 G 2hn W v
i i. yr
r� c 6
U
AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. vvv
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 le y due, after allowing all just credits
and that no rt of the same has been paid.
Date D
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
l 1S That it is in proper form.
That it is duly authenticated as required
by law
t L That it is based upon statutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o tY a
a En a
p p 0
0
ED tj o
axe
Allowed 19_ n a
2
in the sum of b
m rA
a
m a tr
a
a
N 0
M
a n
cci o
(Board or Commission) O n
1
a
p
FILED
b" p
a_ w
a m
m
(Official Title) O 0
O
m
D b q M
i7 N•
A.E. BOYCE CO., INC. MUNCIE, IN 01136
I
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 19951)
CITY OF CARMEL
An invoice or 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
P amela Griffiths Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11 124/0 Mileage $49.14
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
vith IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER 1�12/08/08_WARRANT NO.
P amela Griffiths ALLOWED 2 0_
IN SUM OF
$106.47
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1202 Informatin Systems
Board Members'
PO# or INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoices or
DEPT. Y Y invoice s)
1909 7
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
20
r
A
Signat e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund