HomeMy WebLinkAbout203983 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $37.45
INDIANAPOLIS IN 46208 CHECK NUMBER: 203983
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 37.45 TRAVEL FEES EXPENSE
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MILEAGE C M- rQp.VeL O T OF APPR DI EM 4
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:t ge OPAiATION NO. FOR
(OFFICE, BOARD, DEPAATWEKT OR INSnrUriON)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING
l� POINT POINT START FINISH NATIIAE OF BUSINESS TRAVELE D R S
PER MILE
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AUTO LICENSE NO. TOTALS s4
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 1 3 -7
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amoun cla_ •leq 11� e, after allowing all just credits,-
and that no pa_ of the same has been paid.
Date
I ES 0'0AI Lit
NOV 0 3 2011
DYo 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.
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
10/31/11 Reimb Mileage 10/3 10/31/11 37.45
Total 37.45
1 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
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
37.45
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -11 Reimb 4343000 37.45 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
17 -Nov 2011
Signature
37.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I