HomeMy WebLinkAbout204025 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN STORMS CHECK AMOUNT: $85.63
CARMEL, INDIANA 46032
CHECK NUMBER: 204025
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 85.63 TRAVEL FEES EXPENSE
PSASCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE l�T ATM ^j' GCNFAILL iORY IIC. f01 [19&6}
CLAIM t /I S
(GOVERNMENTAL UNITI
ON ACCOUNT OF APPROPRIA N NO. FOR
0"'CE, BOARD, V EPARTWXKT OR INSr[TUIiON)
DATX FROM TO S PEEDOMETER
READING AUTO E
PONT POINT START FINISH NATURE OF BUSINESS TAAVE EB 6
PER MILE
d
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d a 1 4
n co 1 O
6
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AUTO LICENSE NO. TOTALS I 1 I
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 legally due, after aliowing all just credits
and that no part of the same has been paid.
Date
3 0-0 N ay'
CJ
0 4 ?pal
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
10/31/11 Reimb Mileage 10/4 -10/31111 85.63
Total 85.63
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
Voucher No, Warrant No.
363382 Storms, Meagan Allowed 20
In Sum of
85.63
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 85.63 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
A
Signature
85.63 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund