155318 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358815 Page 1 of 1
ONE CIVIC SQUARE JOANNE GUIEB CHECK AMOUNT: $532.53
CARMEL, INDIANA 46032 7 HARRISON AVENUE
WHITESTOWN IN 46075 CHECK NUMBER: 155318
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 532.53 TRAVEL FEES EXPENSE
I
PRESCRIBED BY STATE BOARD OF ACCOUNTS l GENERAL FORM NO. 1.01 (1986)
APT hh MILEAGE CLAIM
TO n C P. n p rLn�
DINE M u O D V 3 P�/ l/ I h V
VV Y
(GOVERNMENTAL UNIT) r l �.IL
ON ACCOUNT OF AP.PR YYiitt NO. FOR V
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE
FROM TO SPEEDOMETER AUTO MILEAGE_
READING
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
Tom_ �il� a� c l
i
C7
o
i
3
ao
i t
o
E
AUTO LICENSE NO. TOTALS 650 to
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, aft g all just credits
end that no part of the same has been paid. G
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
p p 0
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v 0 E
0 0
Q„ tv
Allowed 19 M a a a
ID
in the sum of t m
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14
(Board or Commission) P m N 0
a
a
FILED
m
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a_ a
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(Official Title) O O
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A.E. BOYCE CO., INC. MUNCIE, IN 01136 C1 a
PRESCRIBED BY STATE BOARD OF ACCOUNTS DEC 0 6 200 l GENERAL FORM NO. 101 (,1986)
MILEAGE CLAIM
DEPT g ��l_b TO
T JTVF.
(GOVERNMENTAL UNIT). DE SC
��WV Vb �(�Cj ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER T �R AUTO MILEAGE
�7 NATURE OF BUSINESS MILES
t POINT POINT START FINISH TRAVELED PER MILE
v
/o
o
V J'
O l i-
C7
/O
D
T
9Lr
D 30
/o 3?'
IL
Ila I
I
t t5
AUTO LICENSE NO. TOTALS�� t/
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
6
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 t1' w
0'� m
M w
p
Allowed 19 x w
in the sum of
a
m a
(D e✓
FJ 0 F
CD N N
CL
a
p
m
O- 0
0
0
(Board or Commission) 0 N
a
FILED O a
y m
tr p
w M0
a m
N
(Official Title) 0 O N
0
ry (D rt
b R.
A.E. BOYCE CO., INC. MUNCIE, IN 01136 A a
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM NO. 101,',1986)
DEPT MI LEAGE CLAIM DEC Q 6� 2007
(GOVERNMENTAL UNIT)
LINE Ie3 u_30 TO
I
DESC I rak ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
o T i2 �G 1Z iL i�i✓�21 J0
3
AUTO LICENSE NO. TOTALS y
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, st 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.
i That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o W w
M
w fD O f1
v w
p o
Allowed 19 (D a n a
k tr
c a w
rt
in the sum of 'n `Q m
(D
�x
a
a
CD m
FJ 0 F
ca o m
CL
I a
v. a
0
A `C
(Board or Commission) 0 rt CD
a
FILED (D O a
a m
w O W
W
w
(Official Title) p O
W tr
4 fD
a r�PM
tr
A.E. BOYCE CO., INC. MUNCIE, IN 01136 A 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.
Joanne Guieb Terms
Date Due
In;Pq Description
Date or bill(s)) 226.98
or note attached invoice(s) Amount
D
12Mileage
226.98
12Mileage 78.57
12/6/07 Reimb Req Mileage
To tal 532.53
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Joanne Guieb Allowed 20
In Sum of
532.53
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb Req 4343000 532.53 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
4 -Jan 2008
-arig teyices
532.53 Business Manager
Cost distribution ledger classification if
claim paid motor vehicle highway fund