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155512 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360411 Page 1 of 1 q ONE CIVIC SQUARE AARON SMITH CHECK AMOUNT: $85.85 CARMEL, INDIANA 46032 9773 SAN MARCO PASS o INDIANAPOLIS IN 46280 CHECK NUMBER: 155512 CHECK DATE: 1/1012008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4343000 85.85 TRAVEL FEES EXPENSE ,r PRESCRIBED BY STATE BOARD OF ACCOUNTS r 7 -GENERAL NO, 101 (1986) Ll MILEAGE CLAIM DEC 0 0 2007 I TO Aaron 3m)fh DEPT (GOVERNMENTAL UNIT) D D�� I LINE ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) rof tI_ v S SPEEDOMETER FROM TO AUTO MIkF DATE READING .�l(( a-Qa7 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED PER MILE rz� Gi GEC,,, C J�-� v Y' j- c�•�212 pi �L• S v 5 O AA 44Q�.n Ca..� Cf�' App c� d li�lC Lvi. n n (W I s 4 1 5Z t L 10 /2' D"D l0 31 td i C-- f 6 AUTO LICENSE NO. I TOTALS I 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 foregoinga ccount is just and correct, that the amount claimed is legall due, after allowing all just credits and that art of the same has been paid. Date 4 C :7 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. Aaron Smith Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/6/07 reimb. mileage reimbursement 85.85 Total 85.85 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. Aaron Smith Allowed 20 In Sum of 85.85 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 reimb. 4343000 85.85 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 4 -Jan 2008 Signatu 85.85 Business Se Ices Vanager Cost distribution ledger classification if Title claim paid motor vehicle highway fund