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162037 07/23/2008
CITY OF CARMEL, INDIANA VENDOR: 358684 Page 'I Of 1 ONE CIVIC SQUARE SHANNON SHERMAN CARMEL, INDIANA 46032 18816 WIMBLEY WAY CHECK AMOUNT: $149.99 NOBLESVILLE IN 46060 CHECK NUMBER: 162037 CHECK DATE: 7/23/2008 DEPARTMENT AC COUNT PO NU MBER IN VOICE NUMB AMOUNT DE 1046 4343000 149.99 TRAVEL FEES EXPENSE j m L F oB� No. rot (iaes� PRESCRIBED BY Sr1�E BOARD OF ACCOUNTS MILEAGE CLAIM JUL 0 8 2008 I TO 112 /J a1 -P4o_m� f'l -P (GOVERNMENTAL UNIT) j I ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) DATE FROM TO I SPEEDO READ NG T +R AUTO GE NATURE OF BUSINESS MILES Q POINT POINT START FINISH TRAVELED PER MILE 5 m' r C 19 J .n a -rte/ f.• D D D ©i2 Grp r D L� yt no�'t '74 n FS c T D iw /C 5 3 ss S y L b f 0 3 �.ti, T l b n X/"&u /411, c 3 l 2QY', i i D d L'J!�- c c i Cr j. 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, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally %due, after allowing must credits and tea€ no pa ;,t of the same has, been paid. Date 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 Sherman, Shannon Purchase Order No. r Terms t Date Due Invoice Invoice Date Description Number (or note attached invoice(s) or bill(s)) 7/2/08 Reimb. Mileage 5/9/08 6120/08 Amount 149.99 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance 149.99 with IC 5- 11- 10 -1.6 ,20 Clerk- Treasurer Voucher No. Warrant No. Sherman, Shannon Allowed 20 In Sum of 149.99 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Reimb. 4343000 149.99 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 18 -Jul 2008 Signature Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund