157209 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
r C tl ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $190.38
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
y '''1➢a Eo'? INDIANAPOLIS IN 46208 CHECK NUMBER: 157209
CHECK DATE: 315/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1046 4343000 190.38 TRAVEL FEES EXPENSE
i
PRESCRIBED By STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1966)
CEIVED ILEAGE CLAIM I j �JQ8
FF4 1 3 ?nn8 T o
(GOVEFUTHENTAL UNM r
ON ACCOUNT OF A_ PPROPRIATION NO. FOR 1[i���M�a�f
(OFFICE, BOARD, DEPARTMENT' OR INSTITLTTIOh�
SPEEDOMETER
FROM TO
DATE READING AUTO MILEAGE
NATURE OF BUSINESS MSS a
2 O POINT POINT START FINISH TRAVELED
PER MILE
)0Jk Ex Sig
'M omoa —a v;��r`3'k! a ,�u+ d p u Y;�r;�yr-(•�a l r I a
1 V Khmm n 1?iCC: v su 1,es 2=3r 3
r mp
M Cr GCE Curt` bol a G
ti C Q d
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2� 1 A &Y G a6 AI 7 G Q S1
ack 014 Can^ -D iV1 Gv:N ik+2• o c C 1 5
Ai er so ?b so li es e G S
t? Lt W D JbA Z�Y- F- c 1 3. C) t 5 S
4 i N 1 2 6 1 si s
WON1 fiA t 11�lbni M L, 1 Pl u 'C- o o e 637
L-
AUTO LICENSE NO. TOTALS j� 9 �n
SPEEDOMETER READING columns are to be used only when distance b'etween-points.cannot be determined by fixed mileage or official highway map.
Pursuant to provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is leg due, after allowing' all just credi
and that no part of the same has been paid.
Date -l1�
JBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 164 (1986)
MILE AGE CLAIM
CEIVI; TO—
(GOVERIrMINTAL UNIT) Iu
FR 3 ?nn8 ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) L
PEEDOMETER
DATE FROM TO READING AUTO MILEAGE
NATURE OF BUSINESS MILES
Z- POINT'. POINT START FINISH TRAVELED PER MILE
D
Z C? L ce,�4 -i
Av 6 (6r A k__ a 1 4 ys
PEA 0
1 ot6 1 ".a I c_' rL
CE F n f
/C1 C1� l V Y X 1J O "C I LJ i
b 3
Z r X01 S
7 T -v 1C4=oC c N Ootr j �t -)2 Cs�� 2 _�a c1�' �s S i D Z
2. -a Z4 Q
G 1) L s
ric
do
AUTO LICENSE NO.
TOTALS
y
READING columns are to be used only when distance between points, cannot be determined by fixed mileage or official highway map.
the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is 1 y ue, after allowing all just credit
of the same has been paid.'
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1M)
MILEAGE CLAIM
CEIV D
(GOMMIENTAL UNIT) FFB 1 3 2008 ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSfMMON)
SPEEDOMETER
DATE FROM TO READING AUTO MILEAGE
NATURE OF EUSMESS MILES
Zl� POINT POINT START FINISH 'TRAVELED PER MILE
O S
Z'. lam N ��c`� C- T r�+G t A L- �7 e-'ce ti c�
em 1�-' 4 T Q� to
15 1C- iv 5.
tom 10 p c 2
94 Iii -A-�-T UC: W 1 l p S fo 2-(,,
AUTO LICENSE NO. TOTALS 3Cj O
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 claim; i all due, after allowing all just cre
end that no Apart of the same has been paid• J
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.
Nikeesha Pittman Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/12/08 reimb. mileage reimbursement 93.31
2/12/08 reimb. mileage reimbursement 36.52
2/12/08 reimb. mileage reimbursement 60.55
Total 190.38
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.
—)(Nikeesha Pittman Allowed 20
In Sum of
190.38
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343000 190.38 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
29 -Feb 2008
Signature
190.38 Azstetent Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund