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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 C. s" 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