HomeMy WebLinkAbout202721 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 'I
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $39.05
1 CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 202721
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 39.05 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOR11 00 141 11986)
MILEAGE C AIM
r RIM PER DIEM_ �j 4
L �Q tf �iIE W
ro
IGUVERN14ENTALUNIT) y
ON ACCOUNT OF APPROPRIATION NO. FOR
Ke
(oFZcL. BOARD. DETMT 19ff OR 11137[TUTION)
SPEEDOMETER
DA 37E FROM TO READING AUTO 1LILEAGE
POINT POINT STApT FINISH NATURE OF BUSINESS TRAVE E i
PER MILE
---V Pct 1 •tM S M G P� N
Mft 0 pA0 It T�
KAA�Y IF MCC- %I\lp i �0
-fir MGG c Vf P 1-1 A 2
L -r +6 -1P W J MV o
MA Y �ACX-- a(a
I�/►cG� c.G-
sc•c� IL5 3..a 5
�a=5 uw1H ttJ(: 3- is
2-L I qb
CL W� 'tJ►i�r $1.� V PRaP Y1
K cvv 2
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. v
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 l a y due, after allowing all just credits
end the of t bas ha been peid.
Date 1 1 1 r
r
r
NM CC ,nO,ID 1 Coo -WUN CT4z- u 1 0 4
II
T t•
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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5127!11 Reimb Mileage 512 5/27/11 39.05
Total 39.05
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.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
39.05
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1081 -11 Reimb 4343000 39.05 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
6 -Oct 2011
Signature
39.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund