HomeMy WebLinkAbout158941 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361054 Page 1 of 1
0 ONE CIVIC SQUARE CHARLES A IMAN CHECK AMOUNT: $84.84
CARMEL, INDIANA 46032 12525 OLD MERIDIAN ST APT 317
pN o CARMEL IN 46032 CHECK NUMBER: 158941
CHECK DATE: 4/30/2008
DEPAR ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 84.84 TRAVEL FEES EXPENSE
I
PRESCRIBED BY STATE BOARD OF ACCOUNTS TT GENERAL FORM No. 161 (1986)
f MILEAGE CLAIM
APR 1 6 2008 TO
(GOVERNMENTAL UNIT) Y: ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
FROM TO AUTO MILEAGE
DATE READING NATURE OF BUSINESS MILES
19 POINT POINT START FINISH TRAVELED
PER MILE
/r /r
rr rr
r
/r
r
.:z ''1 JS
B
G9 ,r
r/ r/
2
AUTO LICENSE NO. p2 TOTALS g fi Ib
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
znd that no part of the same has been paid.
'Date 7.7 <1
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.
Charles Iman Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/08 reimb. Mileage Reimbursement 84.84
Total 84.84
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.
Charles Iman Allowed 20
In Sum of
84.84
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept
1046 reimb. 4343000 84.84 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
22 -Apr 2008
Z
84.84 Business Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund