166688 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358815 Page 1 of 1
ONE CIVIC SQUARE JOANNE GUIEB CHECK AMOUNT: $423.54
o CARMEL, INDIANA 46032 7 HARRISON AVENUE
WHITESTOWN IN 46075 CHECK NUMBER: 166688
CHECK DATE: 12/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
1046 4343000 423.54 TRAVEL FEES EXPENSE
M
fa
jig", r
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORId NO. io) [iW53
MILEAGE CLAIM
TO LGI�/ r=�
(GOVERNMENTAL U141'n
ON ACCOUNT OF APPROPRIATION NO- FOR
(OFFICE, HOARD, DEPARTMENT OA INSTTTUTION)
SPEEDOMETER AUTO MILEAGE
DATE FROM TO READING
ES
2 Q POINT POINT START FINISH NATURE OF BUSINESS TRAVELED r
PER MILE
0 r P
1— r<
(�P� ta
t_1_ &J =SC
z' i r_ S r n -1< ry M. i. r� 3.:.
<v
A2 to
j
a 1 41 11 I
i v S NOV
k y I
r
ivy-
AUTO LICENSE NO. TOTALS 5
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, e aaiio�� ll just credits
end that no part of the same has been paid.
Date
PRPSCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM 110. 101 (19867
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF, BOARD, DEPARTMF2rT OR 1NSTITUT1ON)
SPEEDOMETER
DATE FROM TO I READING AUTO M�I�LEAG�E
NATURE OF BUSINESS MILES _,t_�t�� t
START FINISH TRAVELED PER MILE
POINT POINT
T Li LEl-i ti L� i \A
I
it f0
i
f f
,f
i a I
I I V U V 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 du ter aliown just credits
and that no part of the same has been paid. c
Date
if
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No.
Guieb, Joanne Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/08 Reimb Mileage 9/5/08 11/19/08 423.54
Total 423.54
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 No. Warrant No.
Guieb, Joanne Allowed 20
In Sum of$
423.54
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb 4343000 423.54 1 hereby certify that the attached invoice(s), or
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
1 -Dec 2008
Signature
423.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund