156593 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE CHECK AMOUNT: $144.01
CARMEL IN 46033
CHECK NUMBER: 156593
CHECK DATE: 2/2112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 144.01 EXTERNAL TRAINING TRA
r
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
r L nil MILEAGE CLAIM I
Q f rk-!/ I I"�/1� ni TO
l
777 (GOVERNMENTAL UNITJ ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READ M T +R AUTO MILEAGE
NATURE OF BUSINESS MILES
19 POINT POINT START FINISH TRAVELED
PER MILE
1 i C NO d L Cye aLIL
1015 '3 r) G• a a..t t_ h T d0 r5T r e/uu'L i _e
P 90 c 4 3 16T L "4!i
b' L f 3 Ya L01of' 7 r 6-1.7 n-o' L ti
?t MAIL
Who d w? l O K '�r 01f aviL 1&4twu
1 I, o 0 C, c vI" �f/ G L
t r
16 �i 00 ✓r rdf hT AVE O lh 6h ,P 1
Q 5 6 441& 4 a,
i0 60 G cv e
1 6 G i
o a0 -,&i-4-n i.J 6 C
16 ilu aoo
as r
D '560D 1r yr i. CCU 1. -r ry,
LO a o` L-
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I
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 legally due, after allowing all just credits
and that no part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
S 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 0 t r 0
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A.E. BOYCE CO., INC. MUNCIE, IN 01136 A'
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Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
c That it is in proper form.
That it is duly authenticated as required
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That it is apparently 1 incorrect
ll
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A.E. BOYCE CO., INC. MUNCIE, IN 01136 �Q A
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)
DATE FROM TO SPEEDOMETER AUTO MILEAGE
NATURE OF BUSINESS MILES 0
19 POINT POINT START FINISH TRAVELED
PER MILE
s7 C-
AV-h.Q T214 A4
rrvri e, u�
C 40 n
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4 1-/ ivc
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 go part of the same has been paid.
Date X31 o �%ru,
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
6 9 c r l Y 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
o tr a
r, a
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0
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a W
Allowed 19_ C w 0 a
m m
in the sum of
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A.E. BOYCE CO., INC. MUNCIE, IN 01136
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOR M NO. 101 (1986)
MILEAGE CLAIM S
TO
�S
(G OVERNMENTAL IT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER AUTO MILEAGE
DATE FROM TO READING NATURE OF BUSINESS MILES 0
19 POINT POINT START FINISH TRAVELED
PER MILE
d QL CC 4 t /�l Ci 7/(,
g .3 a 1.. y c. c 4
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d Q 0 z c, ✓i *L va, /Y�� %cr' t i i't2
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11/VLVI a
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 legally due, after allowing all just credits
and that no part of the same has been paid.
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'!'7!/ 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 o 0
n N
Allowed 19_ w a a
in the sum of b t
m
N
m a tr
m m
F
CD (D O"
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a M a
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0
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(Board or Commission) O n
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m
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A.E. ROYCE CO., INC. MUNCIE, IN 01136
I
Prescribed 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 $20.20
02/12/08 Mileaqe $42.00
02/13/08 Mileage $35.35
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER g2jj$/0$_WARRANT NO.
rl I S ALLOWED 20
IN SUM OF
$144.01
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Information Systems
Board Members
D INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1202 0 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1202 30 -02 $46.46 which charge is made were ordered and
0 received except
1202 30 -02 35.35
20
S nat re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund