HomeMy WebLinkAbout155789 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 359179 Page 1 of 1
ONE CIVIC SQUARE JASON KARSAS
CARMEL, INDIANA 46032 8987 RIVER BEND COURT CHECK AMOUNT: $60.14
INDIANAPOLIS IN 46250 CHECK NUMBER: 155789
CHECK DATE: 1/2312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION
1046 4343000 60.14 TRAVEL FEES EXPENSE
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OF ACCOUNTS GENERAL FORM NO. 101 (1986)
PdESCB18gp BY STATE MILEAGE CLAIM
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TO I
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(GOVERNMENTAL' UNIT) ON ACCOUNT OF APPROPRIATION NO. jr. I/Z,7- FOR-
CO LE BOARD, DEPARTMENT OR INSTITUTION)
FROM TO I SPEEDOMETER
READING AUTO MILEAGE
NATURE OF BUSINESS MILES 5 x
DAB POINT POINT START FINISH TRAVELED
PER MILE
19 4
1 'PL-7
r
r
AUTO LICENSE NO. TOTALS
3'7 GAS J
SPEEDOMETER READING columns are to be used only when distance between 'points cannot be determined by fixed mileage or official highway map.
C h a pter 3 i L
Pursuant to the provisions and penalties Of apter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, fter lowing all just credits,
and that no part of the same has been paid. 9
Date
R
2
Claim No. Warrant No. I have exa
IN FAVOR OF certify as fora vs: within clam and hereb3
That it is in proper form,
That it by law s duly authenticated as require
That it is b
ased upon statutory authoril
That it is a c
�Aarently orrect I
incorrect K
On Account of Appropriation
No. Disb urs
for uZ9 Officer
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Q m Q a
Allowed 19_ y p
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in the sum of
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ID a O I
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(Board or Commission) q p
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FILED
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A.E. SOYCE CO., INC. MUNCIE, IN 01138
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`DESCRIBED BY STATE BOARD OF ACCOUNTS F GENERAL FORM NO. 101 (1986)
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DEPT MILEAGE CLAIM JAN 0 8 2008
r gw� 0 d q 3L 3n TO
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(GOVERNMENTAL UNI ON ACCOUNT OF APPROPRIATION NO. -FOR= S�OY1 Gll 5
DESC
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION
DATE FROM TO SPEEDOMETER READING AUTO MILEAGE
NATURE OF BUSINESS MILES (a c
19 POINT POINT START FINISH TRAVELED PER MILE
li /1
3
1 Il it 3
JI it it
It
a-� It it 3
II
30 r►
n
►I
/I
AUTO LICENSE NO. TOTALS
SPEDOMETER READING columns are to be used only when distance between points cannot bel 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 d after a t
-nd that no part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and hereb3
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as require
by law
That it is based upon statutory authorii
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o W a
Via~
y o 0
n
rh a 0
Allowed 19_ a m
in the sum of M.
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ID
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co CD
CL
co
p. o
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(Board or Commission) c0i
a.M.`��
FILED
CD
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n N
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(Official Title) M O M
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A.E. BOYCE CO., INC. MUNCIE, IN 01136
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.
Jason Karsas Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/8/08 Reimb Req 2007 mileage 60.14
Total 60.14
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
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
Jason Karsas Allowed 20
In Sum of
60.14
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb Req 4343000 60.14 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
17 -Jan 2008
4%
Si ur
60.14 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund