HomeMy WebLinkAbout166845 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $30.01
INDIANAPOLIS IN 46208
<<oN CHECK NUMBER: 166845
CHECK DATE: 12!10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1✓'046 4343000 REIMB 30:01 TRAVEL FEES EXPENSE
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PRLSCRIHED HT STATE BOARD OF ACCOUNSS
GCNRBAL FORM NO. 101 (1 W S)
MILEAGE CLAIM
TO
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ON ACCOUNT OF APPROPRIATION NO.
(OF:7CE, BOARD. DEPA.RTMF.Xr OR 1W 10#)
SPEEDOMETER AUTO AGE
DATE FROM TO READING
2P 0, POINT POINT START FINISH NATURE OF BUSINESS MILES TRAVELED TAAVELED PEA MILE
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AUTO LICENSE NO, TOTALS 51
SPEEDOMETER HEADING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway. map
Pursuant t the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claim%'g e, after aliowinq all just credits
end that n e ofihe same has been ai
Dat i
DEC 0 1 2008
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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—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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/08 reimb. Mileage 11/3108 11/26 30.01
Total 30.01
I 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
i
y
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
30.01
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1046 reimb. 4343000 30.01 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
30.01 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund