160030 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CHECK AMOUNT: $78.75
CARMEL INDIANA 46032 2713 HIGHLAND PLACE
tiiro� ion INDIANAPOLIS IN 46208 CHECK NUMBER: 160030
CHECK DATE: 5/28/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 78.75 TRAVEL FEES EXPENSE
PRESCRMED BY STATE BOARD OF ACCOUNTS EMM- U FORM No. 101 pap)
Y
MILEAGE CLAIM
TO
(GOVEMWMAL UM M ON ACCOUNT OF APPROPRIATION NO. FOR �11�� e-stla 1 I :d ai,1
(OFFICE, BOARD, DEPARTMENT OR INST1TUTfOh')
SPEEDOMETER
FROM TO REAMING AUTO MILEAGE
HATE NATURE OF BUSINESS MILES a zbe S
70 D( POINT POINT STf1RT FINISH TRAVELED
PER MIL
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AUTO LICENSE NO. TOTALS CJw
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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. -7g'75
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 claime 'si egally due fter allowing all just credits,
end that no part of the same has been paid.. ?F-- -j
1
Date
t
LP Y:
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.
Nikeesha Pittman
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
516108 reimb mileage 78.75
Total 78.75
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
Voucher No.. Warrant No.
35 Allowed 20
Nikeesha Pittman
In Sum of
78.75
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb 4343000 78.75 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
23 -May 2008
Sig Wt ure
78.75 Business ServiTsManager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund