158130 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 360411 Page 1 of 1
ONE CIVIC SQUARE AARON SMITH
CARMEL, INDIANA 46032 9773 SAN MARCO PASS CHECK AMOUNT: $89.28
INDIANAPOLIS IN 46280
CHECK NUMBER: 158130
f CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 89.28 TRAVEL FEES EXPENSE
I
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM =M ARO ED TO— (GOVERNME NTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. 008
S 3Y,
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING NATURE OF BUSINESS MILES
it ACOC POINT POINT START FINISH TRAVELED
PER MILE
�7_
zz
L•
A
AUTO LICENSE NO. TOTALS
SPEEDOMETER READII`1G 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, afte allowing all 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.
Aaron Smith Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/08 reimb. mileage reimb. 89.28
Total 89.28
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Aaron Smith Allowed 20
a
In Sum of
89.28
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#1TlTLE AMOUNT Board Members
Dept
1046 reimb. 4343000 89.28 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
25 -Mar 2008
Sig re
89.28 Business S rvi s Mana er
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund