HomeMy WebLinkAbout160937 06/25/2008 a CITY OF CARMEL, INDIANA VENDOR: 359213 Page 1 of 1
ONE CIVIC SQUARE JOHN JUDAY
CARMEL, INDIANA 46032 8434 SKIPPERS COURT CHECK AMOUNT: $80.80
AVON IN 46123
CHECK NUMBER: 160937
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
905 4343004 80.80 TRAVEL PER DIEMS
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tb.d by 3tm. Board of Aoo u.
.+m aral Farm No. 101 (j **C
MILEAGE CLAIM
(GOVERNMENTAL UNIT) TO V DR.
ON ACCOUNT OF APPROPRIATION N0. F'O
(OFFICE. BOARD, DEPARTMENT OR INSTITJTION)
DATE FROM TO SPEEDOMETEF2 I AUTO MfL GEr
19 READING+ MILES d 5
POINT POINT NATURE OF BUSINESS I TRAVELED PER MILE
START �INISF'
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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 penalties of Chapter 155. Acts 1953. 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due. aher allowing -all 'just cred
and that no part of the same has been aid.
Date
J
1
C'Icirn No. Warrant No. f have excrrnined -the 7vi -Lhin. claim .and.hereby
certify as follows:
IN FAVOR OF
T•rnat it is in proper 'form
That. it is -duly authentic4ted es required
by law.
That it is based upon statutory authority.
corrct
That it is apparently incorrect
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On Account of Appropriation' No. for Disbursing Officer J
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Allowed 19 a
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