HomeMy WebLinkAbout166349 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
0 ONE CIVIC SQUARE NIKEESHA PITTMAN
i? CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $3fi.74
INDIANAPOLIS IN 48208
CHECK NUMBER: 166349
CHECK DATE: 11/24/2008
DE PARTMENT A PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1046 4343000 36.74 TRAVEL FEES EXPENSE
PRESCRIBED BY STATr BOARD OF ACCOUNTS
GF1ti FOAM NG. 401 (iSBb)
MILEAGE CLAIM
TO
LARJAEL LAS{
�AK* Q a►r����
(GOVERNMENTAL V14M ON ACCOUNT OF APPROPRIATION NO- FOR hI 1 �E6 :rDsAAV
Et•.t T110H)
(Oii1C4, BOARD, A D OtYQ
AA7TM OR 1N fON)
SPEEDOMETER
AUTO
DATE FROM TO READING AGE
POINT POINT START FINISH NATURE OF BUSINESS MILES t
TRAVELED PER MIL I:
9 a t Or3� wig MotJ4Tt aRLi I h 1 DLZR di C o zZ
t3 1> 7
i 14 ET t44e.5 r hi�K t ii r r' C CZ
2 0 1 Cot) avlc-._ NWLE
WED ic. b Nf43 t t IW I
Gr a> 31iD NCi VVi� Mrrc
(p•
I
AUTO LICENSE NO. TOTALS d' 2,
t SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage -or official highway map. t
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 claime d isle a11:y d4aaf a liowinq all just credits,.
and t at no p rt of the sarr�a has bee paid.
I)-.-
1
1 t
C'lVE
EBY:
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.
369461 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
10/31/08 reimb. Mileage Oct'08 36.74
Total 36.74
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
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
36.74
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1046 reimb. 4343000 36.74 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
17 -Nov 2008
Signature
36.74 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I