157944 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 358815 Page 1 of 1
0 ONE CIVIC SQUARE JOANNE GUIEB
CARMEL, INDIANA 46032 7 HARRISON AVENUE CHECK AMOUNT: $130.95
WHITESTOWN IN 46075 CHECK NUMBER: 157944
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES
1046 4343000 130.95 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
FEB 2 7 2008 MILEAGE CLAIM
RF-CEWM!�
TO
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR N� G0
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING AUTO MILEAG
NATURE OF BUSINESS L4 '5 5
c
POINT POINT START FINISH TRAVELED
PER MILE
f� �z�u �uio►` �TZ a 1.� i2ECr
a
a ►a
fa �3
.2D.
AUTO LICENSE NO. TOTALS �0
SPEEDOMETER READING columns are to be used only when distance between points 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 of the same has been paid.
Date
j
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
i
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Joanne Guieb
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/08 reimb mileage reimb 130.95
Total 130.95
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.
Allowed 20
Joanne Guieb
In Sum of
130.95
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb 4343000 130.95 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
25 -Mar 2008
Si atu e
130.95 Business ervices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund