165425 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 of 1
ONE CIVIC SQUARE JENNIFER SEWELL
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CARMEL, INDIANA 46032 4163 APPLE CREEK DR CHECK AMOUNT: $19.98
•y;,.oN io INDIANAPOLIS IN 46235 CHECK NUMBER: 155425
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION''
1046 4343000 19.98 TRAVEL FEES &.EXPENSE..
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOR31 NO. 103 (19867
MILEAGE CLAIM V I .-F—r L
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(GOVERNMENTAL IINrrJ
ON ACCOUNT OF APPROPRIATION NO- FOR
(OF.ICE, BOARD. DEPAAnW" OR INS nUTION)
g SPEEDOMETER
A r� FROM TO READING AU t
NATURE OF BUSINESS WLE
POINT POINT START FENiSH TRAVELED PER R
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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 1853, I hereby certify that the foregoing account is just and correct, that the amount claimed is legall ue, ter allowing all just dit
and that no part of the same has been paid.
Date yO
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.
358641 Sewell, Jennifer Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/15/08 Reimb. Mileage 8/22/08 10/13/08 19.98
Total 19.98
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
20_
Clerk- Treasurer