163964 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00352592 Page 1 of 1
A ONE CHIC SQUARE JUDY STOHLER
CARMEL, INDIANA 46032 ENGINEERING OFFICE CHECK AMOUNT: $20.89
ENGINEERING OFFICE CHECK NUMBER: 163964
CHECK DATE: 9/17/2008
DEP ARTMENT ACCOUNT PO NUM BER INVOIC NUMBER A MOUNT D ESCRIPTION
2200 4230200 1.59 OFFICE SUPPLIES
2200 4342100 11.26 POS'T'AGE
2200 4343002 8.04 EXTERNAL TRAINING TRA
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTAL. UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFIC OARD, DEPARTME R INSTITUTION)
DATE FROM TO S READING +R AUTO MILEAGE
19
MILES
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED a
PER MILE
ell
S�
"71
c 7� 7 2 6
7S
q) 5r S L3 AA2 lc, 13 g- f
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 allowing all just credits
and that no part of the same has been paid.
Date sZ 6 e
Claim No. Warrant No. T 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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(Board or Commission) P-
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A.E. ROYCE CO., INC. MUNCtE, IN 01136
Prescribed by state Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or'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
Judy Stohler
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s): or bill(s))
8/19/08 NIA Postage $3.00
9/5/08 NIA Postage Fed Ex Stormwater Rule 13 Application
NIA Office Supplies
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
Engineering Dept.
$12.85
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
P09 or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice or
n/a E 119/08 2200- 4342100 $3.00 bill(s) is (are) true and correct and that the
rva E 1 /5/08 2200 434 8.25 materials or services itemized thereon for
n a 2200 4230200 �59 which charge is made were ordered and
received except
J 20
r
ignatu
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund