156812 02/21/2008 F CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 of 1
ONE CIVIC SQUARE JENNIFER SEWELL
,z CARMEL, INDIANA 46032 7050 MCINTOSH LN #3A CHECK AMOUNT: $48.60
INDIANAPOLIS IN 46226 CHECK NUMBER: 156812
CHECK DATE: 212112008
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
1 046 4343000 48.60 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS L GENERAL FORM NO. 1 102 41986)
FUND MILEAGE CLAIM
DEPT TO-
-W
Ir q5 p O 8 2008
(GOVERNMENTAL UNIT)
DESC 'j'� ry' /0 �r, ON ACCOUNT OF APPROPRIATION NO. FOR G
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) I INtld L
SPEEDOMETER
DATE FROM TO READING NATURE OF BUSINESS MILES M 9E
POINT POINT START FINISH TRAVELED PER MILE
I 01 VI 0 in k= 7f ►rA I a Z c
U 12— 0 z' 1 eA c- vv 1 n LT Imo
aU. "Z I- L, I) '#O V VIA C tr T 1,0A.11 Q care i
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2 W00k I 3-3
0 2 7
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11
0 R NA IAIVIA TVtLl J
W/rm r vtv) 1AA(' r (TMA10f, 4-171A
r'
a A P, i I t
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. lV V
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 egally ue, after allowing all just credits
and that no part of th�e� same has been paid. n
Date E 1 y r
f
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.
Jennifer Sewell Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/17/08 reimb. mileage reimbursement 48.60
Total 48,60
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