HomeMy WebLinkAbout166910 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
i ONE CIVIC SQUARE BROOKE TAFLINGER CHECK AMOUNT: $15.79
CARMEL, INDIANA 46032 3240 S 400 w
r o KOKOMOIN 46902 CHECK NUMBER: 166910
CHECK DATE: 12110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4343000 REIMB 15.79 TRAVEL FEES EXPENSE
n-
5
I
�I
PRESCRIBED BY STATE HOARD OF ACCOUNTS 7� GEOPRAL FORM NO. 10) (MG)
MILEAGE CL I TO Ne6 ON ACCOUNT OF APPROPRIATION NO. FOR
E. HOARD. DEPARTMExT QP IHSTITVT[ON)
SPEEDOMETER
DATE FROM TO READING AUTO MILEAGE
NATURE OF BUSINESS MILES
POINT POINT START FINISH TAAYELED PER MILE
Z c CN o 3 3� Ce 10 116 3
t i 'v 2'�Io $O r S
1 C' r '55 s 51 S 9Z
1� �1 0 3001
t-
b u fo 1 Z B
1 �w -.A t r •1
I
.4 ri
FEE
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.
r 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 alio"Ving aLl just credits
and that no part of the same has been paid, Log
Date �1 lr cis Fn�
q7- .3o0_00 ysL F
i ray e l Fee- x p-a-4 S-es
7
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.
Terms
Taflinger, Brooke
3240 S 400 W
Kokomo, IN 46902
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
15.79
11126!08 Reimb. Mileage 1 116108 11 121108
Total 15.79
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
ii
Voucher No. Warrant No.
Taflinger, Brooke Allowed 20
3240 S 400 W
Kokomo, IN 46902
In Sum of
15.79
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb. 4343000 15.79 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
3 -Dec 2008
Signature
15.79 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund