177810 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $46.15
INDIANAPOLIS IN 46208
CHECK NUMBER: 177810
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343004 46.15 TRAVEL PER DIEMS
PMCRIRED HT STATE HOARD Or AOCOUNTS GENERAL -FOR3d NO. 101 (]966)
MILEAGE CLAIM
TO
(GOVERNMENTAL S7NIR1
ON ACCOUNT OF APPROPRIATION ND, FOR
jCiF 10E HOARD, DEPARTM:VNr OR INFITnTrION)
SPEEOOM LITER AUTO un r AGE
DATE FROM TO REAPING r
�A NATURE OF BUSINESS MILES 55
v p C• POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS y
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pur want to the provisions and penalties of Chapter 155, Acts 1953, hereby certify that the foregoing account is just and correct, that the amount claimed i all due, afte wing all just credits
end tha no part of the sa� has been paid.
Date V
SEP 0 3 2009 i
f
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
8131109 Reimb. Mileage 814 8/31109 46.15
Total 46.15
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
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
46.15
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1046 reimb. 4343004 46.15 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
24-Sep 009
Signature
46.15 Accounts Payable Coordinato
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I