HomeMy WebLinkAbout155506 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358684 Page 1 of 1
ONE CIVIC SQUARE SHANNON SHERMAN CHECK AMOUNT: $178.48
CARMEL, INDIANA 46032 18816 WIMBLEY WAY
NOBLESVILLE IN 46060 CHECK NUMBER: 155506
CHECK DATE: 1110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 178.48 TRAVEL FEES EXPENSE
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PRESCRIBED BY S?JE BOARD OF ACCOUNTS 1 7 ji r� 'L D �l GENEAAI FORM-WO. '101 (1986)
DEPT M ILEAGE CLAIM
TO
(GOVERNMENTAL UNIT) DESC Tr (k- `r/ G _W I
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READ M T +R AU TO MILEAGE
NATURE OF BUSINESS MILES
POINT POINT START FINISH TRAVELED 5 Q
PER MILE
T 7 7537 5 L i�
ct 0 C
aD 1-21e— lq T l03 tq
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r� r1 77 7 7 7 ,9 -3 4 r
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r� 7 T 7 7 79-6 1
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AUTO LICENSE NO. TOTALS 8
SPEED010TER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Puzs:uar t Ao.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 all just credits
and that no .part of the same ,has, been paid.
Date
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
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Allowed 19_
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in the sum of b I a
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(Board or Commission)
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A.L. BOYCE CO., INC. MUNCIE, IN 01136
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
11/14/07 Reimb Req Mileage reimbursement
178.48
Total 178.48
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
Voucher No. Warrant No.
Shannon Sherman Allowed 20
In Sum of
178.48
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1046 Reimb Req 4343000 178.48 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 -Sep 2007
Si u e
178.48 Business Se ice ana er
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund