169341 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362613 Page 1 of 1
ONE CIVIC SQUARE LINDSAY ATKINSON
CHECK AMOUNT: $55.66
CARMEL, INDIANA 46032
CHECK NUMBER: 169341
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4343002 REIMB 55.66 EXTERNAL TRAINING TRA
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO on
1 i! t L
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
e
(OFFICE, BOARD, DEPABTMENr OR INSTITUTIONJ
SPEEDOMETER y- AUTO
FROM TO I REAPING NATURE OF BUSINESS MILES A E
POINT POINT START FINISH TRAVELED PER MILE GE
Q .Uiel� e
loo t+4 r
I
t
I
AUTO LICENSE NO_ TOTALS
kk
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is leg. due, after aliowing all just credits
2nd that no part of th/ee same has been paid.
Date
(oo_ 1
FEB 1 7 z000
fq 3CK) e�L BY:
i L'CJg'1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Atkinson, Lindsay
Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) jE AMount, 215/() 9 Reimb. Mileage 1121109 1123/09 IPRA Conference .66
Total
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20�
Clerk- Treasurer
Voucher No. Warrant No.
Atkinson, Lindsay Allowed 20
In Sum of$
55.66
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT XTITLE AMOUNT Board Members
Dept
1047 Reimb. 4343002 55.66 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
26 -Feb 2009
Signature
55.66 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund