166781 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 362074 Page 1 of 1
ONE CIVIC SQUARE NATALIE LOVE
CHECK AMOUNT: $38.72
CARMEL, INDIANA 46032 2470 CHASEWAY CT
INDPLS IN 46268 CHECK NUMBER: 166781
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4343000 38.72 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENF,RALFORM NC. 701 (1985]
MILEAGE CLAIM
ro w �ty
(OOVUHMENTAL UVITI
ON ACCOUNT OF APPROPRIATION NO. FOR
(Of7CE, 19OARD, OEPART?4XT OR INSTrn1TtON)
DATE FROM TO RE.ADING AUTO MILEAGE
ES
2-6 POINT POINT START FINISH NATURE OF BUSINESS 7RAVE ED
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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, 1 hereby certify that the foregoing account is just and, correct, that the amount is le ally due, afte o
a
end that no p Tt o1 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.
Love, Natalie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/08 Reimb. Mileage 10/21/08 11/26/08 38.72
Total 38.72
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.
Love, Natalie Allowed 20
In Sum of
38.72
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb. 4343000 38.72 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
1 -Dec 2008
Signature
38.72 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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