HomeMy WebLinkAbout202185 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 365680 Page 1 of 1
ONE CIVIC SQUARE MICHELE JONES
CARMEL, INDIANA 46032 C/O PARKS DEPARTMENT CHECK AMOUNT: $21.54
CHECK NUMBER: 202185
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
1082 4343000 21.54 TRAVEL FEES EXPENSE
FRBsCR1HED BY STATE BOARD OF ACCOUNTS L GENERAL FORM NC. 101 11"M
MILEAGE CLAIM
TO NKAJA
(GOVERNMENTAL UNITE
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFI10E. BOARD. DEp"n.67fT OR ]NsTIT(ITIOX)
SPEEDOMETER
FROM TO I READING MIL T E O S a tAILEAGf
DATE NATURE OF BUSINESS
V POINT POINT START FINISH TRAVELED PER MILE
[r J
3
AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits r
end that no pa of th same has been paid.
Date
SEP 0 9 2011
A
s
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Jones, Michele Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7128111 Reimb Mileage 613 7114 21.54
Total 21.54
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
I
Voucher No. Warrant No.
Jones, Michele Allowed 20
In Sum of$
21.54
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 Reimb 4343000 21.54 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
22 -Sep 2011
Signature
21.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund