161376 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE CHECK AMOUNT: $51.51
CARMEL IN 46033
CHECK NUMBER: 161376
CHECK DATE: 7/11/2008
DEPART ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 51..51 EXTERNAL TRAINING TRA
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
IA Dm w TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READING SPEEDOMETER
MILES MILEAGE Q
19 NATURE OF BUSINESS TRAVELED
POINT POINT START FINISH PER MILE
Gi CC W CC G L- 3 J 64T q V': 464 cw�i 6Yi
3 09 11 cc 3 /I via Ci v,
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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 legs a ter allowing all just credits
and tli no part of the same has been paid.
Date l
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
&V� 'r That it is in proper form.
�S r That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently correct
incorrect
a�a�
Disbursing Officer
On Account of Appropriation No. for
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A.E. BOYCZ CO., INC. MUNCIE, IN 01136
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM C E I q
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READ M T +R AUTO MILLEVE Q
NATURE OF BUSINESS TRAVELED MI
19 POINT POINT START FINISH PER MILE
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6 T
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AUTO LICENSE NO. r TOTALS a�
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
and that no part of the same has been paid.
Date �i CL o�c�(� C� t �L ✓/L
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-T
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
0
f�- d' a
120- l 3
0) M O
0 R
M a
Allowed 19_ x a
a a a
0 M
in the sum of M
a 5
m tr•
M M h••
y CL
p Q. 0
0
(Board or Commission) 14 9 rt
PQ M
p p
FILED a
M
a (D
N
(Official Title) o o
O_
m
i A.E. BOYCE CO., INC. W"CIE, IN 01136 I'I
Pre:gibed by State 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))
Mileage $24. 4
06/23/0 Mileage $27.
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 09)/0710g_WARRANT NO.
e
Pamela Griffiths ALLOWED 20
IN SUM OF
$51.51
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1202 Informatin Systems
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1202 430-02 S24 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
-02 $27.27 which charge is made were ordered and
received except
20
A in atur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund