165420 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 362100 Page 1 of 1
ONE CIVIC SQUARE PAULA SCHLEMMER
CARMEL, INDIANA 46032 9455 CANOPY LANE CHECK AMOUNT: $30.21
FISHERS IN 46038 CHECK NUMBER: 165420
CHECK DATE: 10/29/2008
DEPA ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 30.21 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NC. 101 (1986)
MILEAGE CLAI
TO PP U U �jC.l1 LEM ME V,
(GOVERNMENTAL UNIT}
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD; DEPARTMENT OR INSTTTUTION)
SPEEDOMETER
DAT FROM TO READING AUTO MILEAGE
2� 06 POINT POINT START FINISH NATURE' OF BUSINESS TRA MILES
VELED PE MILE
C
U11 L 50 A .0. To M Dr1On 11AaCT
AUG
O GYIOrI
sr I-t E I
15 1 A.D. To 1.> _rl 'E s
2.1 A. TO C.t� R 1� T►2 P,E'000X1 P U S Cy,S
-1
."1 i0 r y) on r--k UPn I ESE R ALA- FF MEETf1
-18 A- To CI 1:y TO A4 .C. Ii1 rZ) rn A Z) i C I IP MOIL
5£ P 2 A. o. i rn ct e 'Tl n
2 r2 rn D� K C 12u
1 1 4 C-LE TF Z S S REM) 12J t\)g 5 M GET t n 2
1 8 n is I Y1CYlor� 1 c r zr� nE CkI E Z
a A, .0. TO rn
Z(o A.0 TO C1 TIZ RA LL CONF O -F VOUC IE 1
29 l 7AV,E VOUCNt L?S T C�� 2-
2 A .0. TO MDno_ crnjf r v n 2
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 due, after allowing all just credits
and that no part of the same has been paid. �y j� I n
Date �l it,� �l!� L JU/L-!� Dl' &L 0 22
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 0980
W �7 MILEAGE CLAIM PP"U L-A C GH_ �M M� 2
W_ P t� TO �.l
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFiICE, BOARD, DEPARTMENT OR INSTITUTION)
EEDOER
DAIT FROM TO G HEADING
AUTO MILEAGE
MILES
2Q POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MICE C
M AY 12 Tb CLERK/ E R I bP,OP OEF VOUC E a.
L' I� ,0 r0 M ovlon R To gn 11
T 1L
i5 A •O. ro A f- ITAKE CHECK NOR QVE ANiCAPT
A. Q. TO C -TR rllP-n_ of V S
TO C'L�ZK- TfZ f i�ETU2n 2n 1i I,
uan. 20 To A. PR CE ZAGE k RlL Q-p P 3.
24 A Tn CLERK- R M MC 'I Q A .O_. ItiJ712 E MAIL r j
I LI:
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AUTO LICENSE NO. TOTALS fa4 2
SPEEDOMETER READING columns are to be used only when distance between points cannot he determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I h. ereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits
and that no part of the same has been paid.
Date
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.
Schlemmer, Paula Terms
9455 Canopy Lane
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/10/08 Reimb Mileage 5/12/08 10/02/08 30.21
I
Total 30.21
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.
Schlemmer, Paula Allowed 20
9455 Canopy Lane
Fishers, IN 46038
In Sum of
30.21
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4343000 30.21 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
15 -Oct 2008
Signature
30.21 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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