164387 09/30/2008 .a CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $48.79
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 164387
CHECK DATE: 9/30/2008
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 48.79 TRAVEL FEES EXPENSE
I
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FOAM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT) IrY��� i
ON ACCOUNT OF APPROPRIATION NO. FOR TA
t n l� l� 1 ��V C
(OFFICE, BOARD, DEPARTMENT OR ENSTITUTION)
SPEEDOMETER
DATE FROM TO READING AUTO M
19 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
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AUTO LICENSE NO. TOTALS
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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 i due, after allowing all just credits,
.end that no part of the same has been paid.
Date 2
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.
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))
8/29/08 reimb. Mileage 7/28/08 8/29/08
EAmount
48.79
Total 48,79
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.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
48.79
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343000 48.79 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
48.79 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund