163221 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE CHECK AMOUNT: $125.19
CARMEL IN 46033 CHECK NUMBER: 163221
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 125.19 EXTERNAL TRAINING TRA
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Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
y That it is duly uthenticated as re
Y required
s
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
a a,
n N O fD
M O n
Allowed 19_ 0 p
in the sum of b m m M
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(Board or Commission) Q
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as
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A.E. ROYCE CO., INC. M"
CIE, MC� IN 01136 ko 0
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
AD YK- MILEAGE CLAIM
1 TO l �L[�X
(GOVERNMENT UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READING SPEEDOMETER MILEAGE
MILES
19 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
S
6 S I Jlkylf6 i I! L sc
d e u Z- /D e1 C dot
4 1
c1
0 Gt i✓i S c.. vT U
D, l h C Cc t «C-
s w W r o S/
40 i 719 e v
b 4 4141 &St I PA W cI
Z&4. 5ri Cti
bg M t 2 ai 4 I HL
Z Pc a .d i 0 a rh,
/2 a Lo 4 6 W,, ht
0 I. T a ,U 6 Az VYt
q 0 /l e i� r mrpqva
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 le e; after allowing all just credits
and that no part of the same has been paid.
Date 8/070 -/b
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
l by law
That it is based upon statutory authority
That it is apparently correct
incorrect
O
Disbursing Officer
On Account of Appropriation No. for
o tr a
0
0 y
In
Allowed 19— a a k
in the sum of b M c9
m
M
a
m a tr
D E
m M
r 0 ri
(D D fD
YA (D
M a
a a o
n q
(Board or Commission) 0
P+ (D
a
FILED a a
a M
tr
Yn
a a
rt
to M
fA
(Official Tide) O o
O.
m
cD
A.E. ROYCE CO., INC. MUNCIE, IN 01136 A
j
Prescribed by5tate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Pamela Griffiths Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/20/0 Milea e frorn 05/19/08 06/19/08 $60.84
Total
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 t)0/ NO.
P amela riffiths ALLOWED 20
IN SUM OF
$125.19
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1202 Informatin Systems
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1202 430 g 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
Sign ure
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund