HomeMy WebLinkAbout202773 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN STORMS
!i CHECK AMOUNT: $82.05
CARMEL, INDIANA 46032
'tsa CHECK NUMBER: 202773
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 82.05 TRAVEL FEES EXPENSE
PRESCRIBED HT STATE HOARD OF AMOUNTS GENERAL FOAL HG. IPI 119661
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT
ON ACCOUNT OF APPROPRIATION ND. FOR
10Fa]CP, BOARD, DEFAATMEirr oe iNsr=ioNi
DATE FROM TO I READINGET AUTO MI�LEA
NATURE OF BUSINESS MILES a
POINT POINT START FINISH TRAVELED PER MILE
3 O
L` 3 b
;mil S
f
i
PT r
k Q/1 Wr f
11 01'r
a
u �5
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 1453, 1 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
V i J L i'1 C
l
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.
363382 Storms, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/22/11 Reimb Mileage 8/1 8/30/11 82.05
Total 82.05
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.
363382 Storms, Meagan Allowed 20
In Sum of
82.05
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 82.05 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
8 -Sep 2011
7
Signature
82.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund