HomeMy WebLinkAbout201139 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 359600 Page 1 of 1
ONE CIVIC SQUARE HELEN BALLINGER
CARMEL, INDIANA 46032 12913 CURRIER STREET CHECK AMOUNT: $34.06
CARMEL IN 46032 CHECK NUMBER: 201139
SON
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 REIMB 34.06 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL rORM RO. 161 119067
q J MILEAGE CLAIM
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ON ACCOUNT OF APPROPRIATION NO' FOR
TIC HOARD, DE AT+ R M}N[. OR INSTITUTION)
FROM TO SPEEDOMETER I �AUTO MII EAG
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NATURE OF BUSINESS I Pp LES VELED PE R MILE
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AUTO LICENSE NO. 'TOTALS
SPEEDOMETER READING columns are to be used only when distance between poinis cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 1SS, Acts 1853, I hereby certify that the foregoing account is just and carreat, that the amount claimed is legally due, after aliow all just credits
and that no pari of the same has been paid,
Date
AUG 2 5 `2011
1
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m t ItG i S SS• C oves Ye
�i I E.
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.
359600 Ballinger, Helen Terms
12913 Currier Street
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8125111 Reimb Mileage 1118 8/23/11 34.06
Total 34.06
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.
359600 Ballinger, Helen Allowed 20
12913 Currier Street
Carmel, IN 46032
In Sum of
34.06
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4343000 34.06 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
8 -Sep 2011
Signature
34.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund