163756 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 358815 Page 1 of 1
ONE CIVIC SQUARE JOANNE GUIEB
CHECK AMOUNT: $274.14
CARMEL, INDIANA 46032 7 HARRISON AVENUE
WHITESTOWN IN 46075 CHECK NUMBER: 163756
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUM BER AMOUNT DESCRIPTION
1046 4343000 274.14 TRAVEL FEES EXPENSE
i
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FOAM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT) 1
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE
NATURE OF BUSINESS MILES S J
POINT POINT START FINISH TRAVELED PER MILE
Lk) L. E- O 1\I D lL I 7 G L V ;v 1) `)L
Jn ILA k v LO CZ �,ti1 C S i z rs C L r= A L L 'F-Ec U ICI
5 0t-` '�u �Lc ti cs C f -�"LL RE C--? i20uP-))
L a I4 o u) E L ff ZU U
I;LQLv E E M �llt 2. M��it �j2bt)p rte
L cF� 1 a 1 Y` I
Jr 1L 1?- O L'o L.t `51` L? Lfa\ t iV r i t� 1 j I
tJ CLtM f" L ►a
C C a7p rte- zn w 1:, 14 0-
V-1
L
Aft—
AUTO LICENSE NO. TOTALS /f�V
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. O
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 ue, a Bowing all just credits
and that no part of the same has been paid.
Date LP
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
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 m 0
m CD
p n
Q-
Allowed 19 o w w
fD m
in the sum of x
cD
a
M w tr CL V
N
N
P) rt
CJr1 (D Q
y
D a
ac
n
(Board or Commission) El 0
a (D
a F-
FILED w
is' p
N (D
rt a
a m
fr
(Official Title) 0 0
(D
b tr
p
A.E. BOYCE CO., INC. MUNCIE, IN 01136 n
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO Ea
(GOVERNMENTAL (GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READING SPEEDOMETER AUTO MILEAGE J
NATURE OF BUSINESS MILES �a o
00- READING
POINT POINT START FINISH TRAVELED PER MILE
t��2V.1 �p l 2U u�� 11j
,t
ao
s
.z AUIJ
7 20
a�
J
tS
V v
AUTO LICENSE NO. TOTALS J
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 owing 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:
That it is in proper form.
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
o tr a
a y Qr
0 y m
p n
Allowed 19 o w 0 w
CD m
in the sum of
m
nl N
a
m a tr
R.
M m
C� 0
I a p
(D a
a n
tr 0
(Board or Commission) 0 rt
a
n A.
FILED
y (D
a M w
(Official Title)
O (D
0
(D
ID
.d
G
A.E. BOYCE CO., INC. MUNCIE, IN 01136 a
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
8/27/08 Reimbursement Mileage 3/17/08 8/20/08 274.14
Total 274.14
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
274.14
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimbursement 4343000 274.14 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
27 -Aug 2008
&'min, .Mot-,
Signature
274.14 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund