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HomeMy WebLinkAbout201398 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 364943 Page 1 of 1 ONE CIVIC SQUARE VICKI RUBIO CARMEL, INDIANA 46032 CHECK AMOUNT: $93.66 CHECK NUMBER: 201398 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 93.66 TRAVEL FEES EXPENSE i PRESCRIBED BY STATE 90AAD Or AcCOUNTr GFNFJIAL FOR51 NC. 101 (1"5) MILEAGE CLAIM 1 C C so v �m 6 (GOVERNMENTAL UN1T1 ON ACCOUNT OF APPROPRIATION NO. FOR (OHICE, BOARD, DEPARTWXr OR INSIRUTION) �ADATE FROM TO I 8PEED0METEA AUTO MIL &AG N' READING NATURE OP 6USINESS MM 4 ES POINT POINT START FINISH TRAVELED PER MILS 'S c_ 7 r- 5 1 L 1 i' LJS 7 d C ct'c�ar Z tao (i(, c L VL-- L t C— Uk V�-t KA 1 1 t7 i AUTO LICENSE NO- TOTALS 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 paualties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits and that no pail of the same has been paid. Ar Date r ZLi LJ 6R AUG 2 2 2011 BY.......:... PRESCRIBED BY SrAIr BOARD OF AGCODRT7s GENERAL FORM NO. IQI {19867 MILEAGE CLAIM �r�^ C f ��I, C Ci TO U IGOVERRYENTAL UNLi7 TT ON ACCOUNT OF APPROPRIATION ND. FOR LOHIC£, BOARD, DF2AATMEKT OR INSTMJTIOHl DA F E FROM TO SPEEDOMETER AUTO }lILEAGE I READING WLES 20 POINT POINT START FINISH NATURE OF BUSINESS TRAVELE6 5`7� S r PER MILE r 7 1 t ^w C S I T AUTO LICENSE NO_ TOTALS S6 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 acccunt is just and correct, that the amount claimed is legally due, after allowing all just credits and that no part of the same has been paid. Date q 3 q ,-,-ool SEP �`L 0 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. 364943 Rubio, Vicki Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8119/11 Reimb Mileage 5/18 8/19/11 62.54 912111 Reimb Mileage 8123 912!11 31.12 Total 93.66 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. 364943 Rubio, Vicki Allowed 20 In Sum of 93.66 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT 4MTLE AMOUNT Board Members Dept 1081 -3 Reimb 4343000 62.54 1 hereby certify that the attached invoice(s), or 1081 -3 Reimb 4343000 31.12 bill(s) is (are) and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 8 -Sep 2011 Signature 93.66 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund