HomeMy WebLinkAbout203458 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS
CARMEL, INDIANA 46032 CHECK AMOUNT: $61.05
12906 DOUBLE EAGLE DRIVE
CARMEL IN 46033 CHECK NUMBER: 203458
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 61.05 EXTERNAL TRAINING TRA
CLAIM General Form No. 101 (1955)
ItlI
TO 'I L L /l�N �l5 DR.
On Account of Appropriation No. for
Z READING` NATURE OF BUSINESS AUTO MILES MILEAGE
Finish TRAVELED PER MILE
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T OTALS
d by fixed mileage or official highway map.
s jup an rect, that the amount claimed is legally due, after
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Prescribed by State Board of Accounts
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(Governmental Unit)
(Office, Board, Department or Institution)
DATE FROM TO ODOMETE
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Auto License No.
SPEEDOMETER READING columns are to be used only when distance between points cannot be determin
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the fore g a
allowing all just credits, and that no part of the same has been paid. D
Date NOV
By
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/31/11 .31.11 Mileage CI $61.05
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.
ALLOWED 20
Pam Griffiths
IN SUM OF
$61.05
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1202 1 .31.11 Mileage CI 43- 430.02 I $61.05
I 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
M Monday, November 07, 2011
I
Director IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund