160367 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
0 ONE CIVIC SQUARE PAMELA GRIFFITHS CHECK AMOUNT: $49.49
so CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE
CARMEL IN 46033 CHECK NUMBER: 160367
CHECK DATE: 6110/2008
DEPARTMENT ACCOUN P O NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 49.49 EXTERNAL TRAINING TRA
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (19k)
MILEAGE CLAIM
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEA E
DATE READING
19 POINT POINT START FINISH NATURE OF BUSINESS
TRAVELED
PER MILE
CGcG
C G cc l"'Jr tgV6 4t a v v i -fv eia' 1
7 a?/S Z aiR iC avu. -C M eccG- v E AyVV Zlf 150&
'9L16 C-Ccc- T gvEl Ul f/ c. SC w
i Olt L- _Ge` ��Lf 6c6c- i V w ie. ni i �evo �ce�SSb�
5 d 6 a 64 Ciel(b a dl C /ht AVE i t c tL
ad 8 16kL7 4 c n e. a z3 r, i 6 1' r G
i C 1) -3 d (3 1"2 A ctcL i o e i v
1 D re 1 Ltil✓�� r CJ %1
3c' -200's I 1W, t'v[6 5 1 et /ttf 1 xe ti z� U nth rc� 62 ,06nt i
i —30 OC 664 Li 60 4 ii 'w l
z cW,"t, 4, eZ
6 CL4
Ait l 1 U Ci
e,- C r� l o
6 e l C�V' r C_-
6 2d� 6M-� a l- tiU
966 b r- C C Iii 4 1'e ry 1,4/ I -�p j 7t ef"'e�(- l
AUTO LICENSE NO. TOTALS �I e
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 no part of the same has been paid.
Date r 7
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
V That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently correct
incorrect
s,31-31 Disbursing Officer
On Account of Appropriation No. for
o tr a
0
o m
M a
Allowed 19_ a a a
in the sum of b
m a
(D CD
r M y
CC) (D 0
y a.
M
C P. n
0
0
(Board or Commission) O rt
a
a a
FILED
w n a
rA
fA
(Official Title) O M
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N.
A.E. BOYCE CO., INC. MUNCIE, IN 01136 tj
A
I'
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER
AUTO MILEA
NATURE OF BUSINESS TRAVELED
DATE READ
19 POINT POINT START FINISH PER MILE
2 �i .,ao 0 e 7 W h t GGcn c�
2z a 'J✓E i 'ViG ZC X� l
D ll e" u r Geri,, G� c C c %ti r �"t e� P S- r, f
0- ✓i U ti -Cc�c
e c, ZW 7c cC�
0 Cc -cc- 31 ✓p- ^./W One, avit r
U'
0 Z on-e ru. Cr' C C CG i i r n," r er r
R ccc rfv
og I i G 1
�7 ci6i /c <a ti&I'�L 'Gc" aj7 1t77 -3 yo 15T
6A 4l
0 I u C
a1. D GC C 51 !4f- A' v✓
b 6 i o e- C 4, 1 5 c �T_ z✓t 1
25
a 6 t cs� h
AUTO LICENSE NO. TOTALS J x
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 due, after allowing all just credits
and tha o part of the same has been paid.
Date 3
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
n That it is in proper form.
That it is duly authenticated as required
law
That
That it is based upon statutory authority.
That it is apparently I correct
1 incorrect
Disbursing Officer
On Account of Appropriation No. for
o tr' a
ay a
o n
0 y m
to `a n
Allowed 19_ Er-
0
m
in the sum of m
M y
a
CO 0
N M
M a
p 9L 0
A `4
(Board or Commission) O R o
FILED w
p
a a
a m
N
(Official Tide) 4 0
0 lam' 5_
M
A.E. BOYCE CO., INC. MUNCIE, IN 0113,6 n
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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))
-0&03/08 -Mileage $3i.3i
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 (j® /09/08 _WARRANT NO.
sine a U ntfiths ALLOWED 20
IN SUM OF
$49.49
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1202 Inforrriatln Systems
Board Members
DEPT or INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1202 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
30 -02 $31.31 which charge is made were ordered and
received except
20
i
S S t ure
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund