HomeMy WebLinkAbout201429 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN STORMS
CHECK AMOUNT: $110.94
CARMEL, INDIANA 46032
CHECK NUMBER: 201429
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 110.94 TRAVEL FEES EXPENSE
Y 1 ✓1�
GENERAL FORM 1,G. ICL (19867
PRESCRIBED By STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
TO
(GOVERNMENTAL Mn ON ACCOUNT OF APPROPRIATION NO- FOR
(OFFICE, BOARD, DEPARTME]!T OR INST=ION) AUTO
FROM TO I S RF.AD NG MILS Q c
DATE NATURE OF BUSINESS
'LD POINT START FINISH TRAVELED MILE
POINT
r
AUTO LICENSE NO. TOTALS I Z�i 47 V
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. TO R L'A 1 10,9 4
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregaing account is just and correct, that the amount claimed is legally due, after a wing all just credits
and that no part of the same has been paid.
Date
W
t A UG 2011
a
la 7439 11
PRESCRIBED BY STATE BOARD Or ACCOUNTS GENERAL FORM NO 101 1106)
MILEAGE CLAIM
TO
(CbOVERNMENTAL IINSTI ON ACCOUNT OF APPROPRIATION NO. FOR
(OFaCE, BOARD, DEPARTIQXT OR INSTRinION)
SPEEDOMETER AUTO
1TA E
2
FROM To READING NATURE OF BUSINESS MILES S C
POINT POINT START FINISH TRAVELED
PER MILE
AJ
01)
All
1
t
c
a
GO r
1
d' S_ q
2.011 LDL
S
Q
CJAAI
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cs G F-
I f, 6 1 Z
CIN
AUTO LICEN NO. TOTALS 3 66,1
SPEEDOMETER READING columns are to be used only when distance between points capnot be determined by fixed mileage or Official highway map
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after owing alt just credits
and that no part of the same has been paid.
Date
�r o xp, a rtT
Aq AUG 1 8 2011
MY
PREscsiSEU BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM rr�nS GENERAL fOAll NO 101 (1986)
To
(OOVCRNMENrAL uNITk ON ACCOUNT OF APPROPRIATION NO. FOR
(OFME, BOARD. UEAAATIM]rr OR TNSTnVTION7
SPEEDOMETER
D TE FROM TO I READING MI E
N ATURE OF BUSINE56 TRAVELEQ
POINT POINT START FlNiSH PER T.
1 1
f 2
Z
rrvo 9.11,
e
I
AUTO LICENSE NO- TOTALS b aq 1
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 is legally due, after aliowing all just credits
and that no part of the same has been paid.
Date
l� \J AUG 18 1011
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.
363382 Storms, Meagan Terms
(previously Meagan Decker)
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/29111 Reimb Mileage 612 7129/11 110.94
Total 110.94
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,
363382 Storms, Meagan Allowed 20
(previously Meagan Decker)
In Sum of
110.94
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1082 -1 Reimb 4343000 110.94 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
110.94 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund