HomeMy WebLinkAbout164380 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 360181 Page 1 of 1
ONE CIVIC SQUARE KATHERINE PETSO CHECK AMOUNT: $17.55
CARMEL, INDIANA 46032 P 0 Box 921
......_�o`. CARMEL IN 46082 CHECK NUMBER: 164380
CHECK DATE: 9/30/2008
DEPA RTMENT ACCOUNT PO NUMBER INVO N UMBER AMOUNT DESCRIPTION
R
1146 4343000 17.55'TRAVEL FEES EXPENSE
3
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
I
(GOVERx1�xTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
FROM To READING N AUTO MIS
DATE NATURE OF BUSINESS POINT POINT START FINISH Q MILES
P FINI TRAVELED PER MILE
f<t;c 11w
PL -A V
I
ti Y
.v-
AUTO LICENSE NO. TOTALS
SS
SPEEDOMETER READING columns are to be used only when distance between points be determined b Y fixed mile 9 or official highway m a p f
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,
end that no part of the same has been paid.
Date I
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.
3
Payee
Purchase Order No. 19246 F
Petso, Katherine Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7108 Reimb. Mileage 8/7/08 17.55
Total 17.55
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.
Petso, Katherine Allowed 20
In Sum of
f
17.55
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 17.55 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 -Sep 2008
Signature
17.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund