169102 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00351721 Page 1 of 1
ONE CIVIC SQUARE JAMES PAGE CHECK AMOUNT: $412.30
s �t� CARMEL, INDIANA 46032
CHECK NUMBER: 169102
CHECK DATE: 2/1712009
DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBE R AMOUNT DESCRIPTION
1202 4343002 412.30 EXTERNAL TRAINING TRA
e
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
T!S/ AM1 TO TAm eA
(G
ON ACCOUNT OF APPROPRIATION NO. OR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
FROM TO AUTO MILEAGE x
DATE READING NATURE OF BUSINESS MILES
POINT POINT START FINISH TRAVELED PER MILE
7 1 ca iMPL Co C�. �S� e 8 i97 .vv T u e 21
c ,-ti r Z 13 0'jl-1 -et w Zz,v
g -22. r P w Ido ot -TA)CL 18 6.G v 1 Z e C P 00
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C P C P 7 7 Co 3 2 ao0
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L P A 1 /9'62-31 Z 3 ei 0 D
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L !P e c�E' 8 Z 19 9 6 ca g, Od
1 1 632 z 19 oto Pc,4tz- L L I z,
P
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P 8g 41I/ 9 88 z 3 L ,oa
2 C o wr C 88 '181 S$ t ,Ud
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c S 188 8 6Y L r c 7 ,120
5 O E g8 7 $�S '6 C Z� 11
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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. Z
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing accmint is just and correct, that the amount claimed is le lly due, after allowin 11 just credits
and that no part of the. same has been paid.
Date
z (U- a
J I have euaa}}ned the within olaix�aad hereby
Claim No. Warrant No.
-S 'g
certify asgllawst
IN FAVOR OF
That it is in proper form
That it is duly authenticated as required
f by law
r) That it is based upon statutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o tr w
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ty rn o
0
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
1A 9,u, MILEAGE CLAIM
r TO �*St
(GO R AL NTT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDO
DATE FROM TO READ NG T +R AUTO Mrr.F.AGE
NATURE OF BUSINESS MILES 0
19 POINT POINT START FINISH TRAVELED PER MILE
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2 C r' J 2v5 c b e ✓e r z- v
C PO 0 kA w ya.) iz Z d
12 -t5 cp6 13� u1, 5fo CC rvo ;v te r A" e 7.0
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2-2 C PA) '76
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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 claimed is legally due, after allowing all just credits
and that no part of the same has been paid.
Date.
Claim No. Warrant No. I have exa d th w reby
l�jn claim 'and `t
�...f certify as"follow'w:
IN FAVO F
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
correct
That it is apparently {incorrect
Disbursing Officer
On Account of Appropriation No. for
o tr' a
a� a
a
N n
y 0 A
ax
Allowed 19 k x a
c
H
in the sum of b (D
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y (D
p a O
o o
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FILED m A a
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(Official Title) O o
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A.E. BOYCE CO., INC. MUNCIE, IN 01136
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
1 3 IJ TO
(GOVERNM UNIT) ON ACCOUNT OF APPROPRIATION NO. FO
9 (OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER READING AUTO MILEAGE.
NATURE OF BUSINESS MILES 5' 0
19 POINT POINT START FINISH TRAVELED
inn MILE
ll l Z C70 PG No dwc' 2, 00
i I Z N ew 5 4s`1 E, 1 26 1 s t Pc d
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z 1 'z P 0 1 60 1 /�:;?w 0 dee e `J PL e)
12 CP to Ooh /Ve7`4i -v z
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 claimed is legally due, after allowing all just credits
and that no part of the same has been paid.
Date 0
C Claim No. Warrant No. I have exab�yeti e i ftai �a�nd ereb
certify as fo'llsv�+�i ,wm
,P IN FAVOR OF
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o sT' a
a 0
0
0 y m
M a
n
Allowed 19_ m r. o a
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in the sum of b `Q
M
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a
m a tr
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(Board or Commission) o p
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W A
A.E. BOYCE CO., INC. MUNCIE, IN 01136
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
/Nd� MILEAGE CLAIM 7 0tio"
TO
(GO °L uxlT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOME AUTO M�EAGE
DATE FROM TO READING
NATURE OF BUSINESS MILES 5?' 5 0
POINT POINT START FINISH TRAVELED PER MILE
2-57 -'w r' f�Gve c'
0 v GL c 141A -I- Cvw c -P 7-
0 c Z
3 LJ 13/ !s A "e aq D o✓v e- 1,:5
1W' yYt
P 10 y `s `82C K,%uc S
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1 6 Cep g 1 e/' v' G; v o a i,J de
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10 o C M •e r ST 1 A ve ,N. W, l5tauj pL 2, e")
4 9- i Z 70
/5 e
&C1 3.
/0 20 t -114 9Ui av eL,Ne P e �Lf e
10 C Sy 15 /2 5 Pry ti /0 D
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11 CAO Z&Q 3 A400. 50
C P a>atF r 6q! E, i26 s7' t4
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C L 0
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2, oU
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AUTO LICENSE NO: TOTALS 7
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 allowing all just credits
and that no part of the. same has been paid.
Date Z C' y l
Claim No. Warrant No. I have examined thwithin claim and hereby
IN FAVOR certify fdlllofs '`ti K+ s
That it is in properorl.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently I correct
l incorrect
Disbursing Officer
On Account of Appropriation No. for
a:
a o 14
is
n g m
p' n
w tr
Allowed 19_ o w
CD
in the sum of m
a
m
CD
M
(O M
CL o
(Board or Commission) 0 5
a m rt
0
FILED I
N C)
M j
m
(Official Title) M
0.
A.E. BOYCE Co., INC. WMCM IN 01136 n
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
James Page Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
flirl 71 Mileage (Septembe, 08
02/10/ V
02/10/09 Mileage December 08 Februa 09
02/10/09 Mileage (July 08 September 08) $141.57
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 %�2)11 61()A WARRANT NO.
ames Page ALLOWED 20
IN SUM OF
7
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Information Systems
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1202 430-09 bill(s) is (are) true and correct and that the
%v materials 'or services itemized thereon for
which charge is made were ordered and
received except
20
Signat e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund