HomeMy WebLinkAbout157976 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 361054 Page 1 of 1
ONE CIVIC SQUARE CHARLES A IMAN
CARMEL, INDIANA 46032 12525 OLD MERIDIAN ST APT 317 CHECK AMOUNT: $81.30
CARMEL IN 46032
CHECK NUMBER: 157976
CHECK DATE: 411/2008
DEPARTMENT ACCOU NT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
1046 4343000 81.30 TRAVEL FEES EXPENSE
r
PRESCRIBED BY STATE BOARD OF ACCOUNTS �y T T�� GENERAL FORM NO. 101 (1986)
�r i/
MILEAGE CLAIM
G I'/2 FEB 2.7- 2008 TO
(GOV RNMENTAL UNIT) B C LF 1►t4 ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING AUTO MILEAGE
NATURE OF BUSINESS MILES --4 x
19 POINT POINT START FINISH TRAVELED PER MILE
el
n J f
11-2-a bl 5Z l�r c L�c�o a N o r T C�v ar r
a a r2
113 (42
n
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 legall due, after allowing' all just credits
and that no part of the same has been paid.
Da €e 2 d /t3Y�
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
2/26/08 reimb. mileage reimb. 81.30
Total 81.30
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
1 20
Clerk- Treasurer
9
Voucher No. Warrant No.
Charles Iman Allowed 20
In Sum of
81.30
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343000 81.30 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
ig atu
81.30 Busines S ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund