166753 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 357976 Page 1 of 1
ONE CIVIC SQUARE BENJAMIN JOHNSON
CHECK AMOUNT: $65.52
CARMEL, INDIANA 46032 8416 MANSHIP DRIVE
FISHERS IN 46038 CHECK NUMBER: 166753
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1046 4343000 65.52 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD mACCOUNTS oENp^ No. "I'=�)
MILEAGE C LAI
E ON ACCOUNT or APPROPRIATION NO. FOR
[OFFICE, BOARD. DEPARTMENT OR INSTITUTION)
DAIL FROM TO 'FADING AUTO
NATURE OF BUSINESS MILES
POINT POINT STAR' FINISH TRAVELED 11
PER MILE
tk
v
SPEEDOMETER aEAom/m columns are mb°used "nl distance between n"intsw=oo/ be a°t°i-*in°u b° fixed milea o, official hi map.
Pursuant m the provisions and n°uvmw!:o/ Chapter ns Acts zea'1 hereb certify that the fore g oin g account is just and correct, that 'he amount claimed is legally d ue, a iter aliowing all just credits
eua ,aat no part of the same has been paid
Date
DEC o 1 2008
BY-
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.
Ben Johnson Terms
8416 Manship Dr Date Due
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/25/08 reimb. Mileage 9/9/08 11/25/08 65.52
Total 65.52
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
i
Voucher No. Warrant No.
Ben Johnson Allowed 20
8416 Manship Dr
Fishers, IN 46038
In Sum of
65.52
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb 4343000 65.52 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
1 -Dec 2008
�j
Signature
65.52 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund