HomeMy WebLinkAbout166207 11/24/2008 a CITY OF CARMEL, INDIANA VENDOR: 362200 Page 1 of 1
0 ONE CIVIC SQUARE LEAH FRENZEL CHECK AMOUNT: $11.12
CARMEL, INDIANA 46032 6645 GREENSHIRE DR
INDPLS IN 46220 CHECK NUMBER: 166207
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 11.12 TRAVEL FEES EXPENSE
j
1
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO Le 0.� e✓ ?-e l
�-Gr�s 2eG
(GVER TAr, UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
�i S
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
FROM To READING AUTO MILEAGE
DATE NATURE OF BUSINESS MILES cog e 5 2
0 POINT POINT START FINISH TRAVELED pEA MILE
0 1
l ,ono `9
WoMbrL
I 1
2008. 1
1
Lq
AUTO LICENSE NO. TOTALS I
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 after allowing' redits
.end that no part of the same has been paid.
Date
r 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.
Frenzel, Leah Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/08 Reimb. Mileage 8/13/08 09/18/08 11.12
Total 11.12
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.
Frenzel, Leah Allowed 20
In Sum of
11.12
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 11.12 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
17 -Nov 2008
Signature
11.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund