HomeMy WebLinkAbout203998 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1
ONE CIVIC SQUARE JESSICA RICHARDS
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CARMEL, INDIANA 46032 1832 N GLENDORA DR CHECK AMOUNT; $114.77
INDPLS 1N 46214 CHECK NUMBER: 203998
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 114.77 TRAVEL FEES EXPENSE
PRLSCRIBCD BY srATL BOARD Or ACCOUNTS GFIIFBAL FORD NG. 101 (1486)
MILEAGE CLAI
FO
(GOVERHMMAL UNrr}
ON ACC 41T OF APPROPRIATION NO_ FOR
(OF.icv. BOAR, DEP"T10ENr oB t"surur1ON)
SPEEDOMETER
DATE FROM TO HEADING AUTO MI AM
NATURE OF BUSINESS MILES r
-t+-- POINT POINT START FINISH TRAVELED PER MILE
MTN
z A51
!2z FM
r
5
c
fYliSYlttl'1
r D
r Z I I 3
2.5 1
FCC
M61ti
AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highwa 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 amou claimed is ly due, of all st credits
and that no part of a same has been paid,
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Date
h a......
PRLSCRIBLo BY STATE BOARD OF ACCOUNTS GEMMML FOAId NO. 10) (1"6)
MILEAGE CLAI C
TO
(GOVERNMENIAL. UNIT)
ON ACCO OF APPROPRIATION ND. FOR
10MCE, BOARD, DMATMFM OR INSnTunoN)
FROM TO READOMETFIi AUTO �3E
DATE I READING t-
ZV POINT POINT START FINISH NATURE OF BUSINESS TA ELED T
PER MILE
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AUTO LICENSE NO. TOTALS
1 2
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount laimed is gally us, after alio all just redits
end that no part of the has been paid.
Date !71 1
NOV
20 11
r
PRESCRIBED BY STATE BOARD Or ACCOUNTS dy
GFaF A AL FORW NG. 101 119863
MILEAGE CL (i r a� r Inn (GOVERNMENTAL UNIT) 'l� 1 tWl
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARr&U T OR INST nITION)
DATE FROM 70 I SPEEDOMETER
READING A 6 �E j E
2� NATURE OF BUSINESS
POINT POINT START FINISH TRAVELED PER MILE
l0 lei kt 2
v t..
M
r
D hn 3
De
C 'J�
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 1953, I hereby certify that the foregoing account is just and correct, that the amount c ime "s leg a r alio all just redits
and that no part of t e same has been paid.
i Date r r I
T�
g-�
q
rf ,Y
!uv-v� W NOV 15 l oll
a e.
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.
364657 Richards, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/14/11 Reimb Mileage 8/8 11/14/11 114.77
Total 114.77
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
364657 Richards, Jessica Allowed 20
In Sum of
114.77
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -4 Reimb 4343000 114.77 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
114.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund