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155899 01/23/2008
CITY OF CARMEL, INDIANA VENDOR: 358684 Page 1 of 1 ONE CIVIC SQUARE SHANNON SHERMAN CARMEL, INDIANA 46032 18816 WIMBLEY WAY CHECK AMOUNT: $132.34 NOBLESVILLE IN 46060 'CHECK NUMBER: 155899 CHECK DATE: 112312008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1 -946 4343000 132.34 TRAVEL FEES EXPENSE t R, iou PRESCRIBED BY S'tM BOARD OF ACCOUNTS MalEr_v. FoRM:Yo. IoI (Iees) JAN 1 4 2008 DEPT y3 MILEAGE CLA (GOVE TAL.UNIT). ---wL `"'Fos ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) SPEEDOMETER DATE FROM TO READING AUTO MILEAGE '7 NATURE OF BUSINESS MILES r 5 Q POINT POINT START FINISH TRAVELED PER MILE l va- z© U one r3 G- S' 5 1 n 1 r V D 18 Dl f 6 rk- p �1 I (�7? i 5 /691 all ti 7 -7 y �t O d1 c r c 7 (..Q AUTO LICENSE NO. TOTALS Z UtMOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Euss;uantto 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 e, aft allowing all just cre I and tliai no part of the same,has.been paid. Date 1 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 Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/11/08 Reimb Req 2007/2008 Mileage reimb. 132.34 Total 132.34 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 i Voucher No. Warrant No. Shannon Sherman Allowed 20 In Sum of 132.34 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Reimb Req 4343000 132.34 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 S Kgnature 132.34 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund