159597 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 358684 Page 1 of 1
0 ONE CIVIC SQUARE SHANNON SHERMAN
CARMEL, INDIANA 46032 18816 WIMBLEY WAY CHECK AMOUNT: $132.56
NOBLESVILLE IN 46060
CHECK NUMBER: 159597
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 132.56 TRAVEL FEES EXPENSE
PRESCRIBED BY STME BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIN,,---
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING MILES by
NATURE OF BUSINESS
POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS 7� L3� 5Sp
SPEEDOMETER READING columns are to be used only when distance 'between points cannot be determined by fixed mileage or official highway. map.
Pumuantlo.the.provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct; that the amount claimed is le lly due, after allow1 gal just credits
and that -no part of the same has.been paid.
Date
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Shannon Sherman
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/29/08 Reimb. Mileage Reimbursement 132.56
-Total 132.56
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Oy a NA- 9- v vµ Allowed 20
Shannon Sherman
In Sum of$
132.56
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 132.56 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
12 -May 2008
Sign re
132.56 Business S rvices ana er
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund