171990 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
0 ONE CIVIC SQUARE NIKEESHA PITTMAN
1, CARNIEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $44.28
INDIANAPOLIS IN 46208 CHECK NUMBER: 171990
CHECK DATE: 4/2912009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343004 REIMB 44.28 TRAVEL PER DIEMS
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I
GENERAL PORN NO. 101 (1995)
PRE5cR18C0 BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
TO
L, .6 g�J1EL LA� 1421 .5 naa) 14 1lCE�S}} �jTTM1�1�
(GOVERNMENTAL U tt) ON ACCOUNT OF APPROPRIATION NO. FOA
Nb� hATf4 �gj�4fAA�
(Oi�CE, B ARO, OF7 NT OR IN ]9N)
SPEEDOMETER AUTO
DAT FRO READING NATURE OF BUSINESS MILES Chi V AGE
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POINT POINT
START FINISH TRAVELED MiLl
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TOTALS r
stance between points cannot be determined by fixed mileage -or official highway map.
1953, I hereby certify that the foxegoing account is just and correct, that the amount claimed is 1 ga y due, after allowing all just credits. Q
APR 14 2009
ACCOUNTS PAYABLE VOUCHER
o" 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.
n
Terms
359461 Pittman, Nikeesha
Date Due
2713 Highland Place
Indianapolis, IN 46208
Invoice Invoice Description Amount
or note attached invoice(s) or bill(s)) PO
Date Number 43.89
4114109 reimb. Mileage 312109 3131109 WB
Total 43.89
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20,
Clerk- Treasurer
Voucher No. Warrant No.
359461 Pittman, Nlkeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1046 reimb. 4343004 49`$9 I 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
22 -Apr 2009
Signature
Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund'