HomeMy WebLinkAbout170538 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $41.16
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
`o INDIANAPOLIS IN 46208 CHECK NUMBER: 170538
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1046 4343004 41.16 TRAVEL PER DIEMS
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PRESCRIBED BT STAI£ BOARD Of ACCOUNTS GENFAAL FORM IfO, 101 (19857
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(GOVERNMENTAL UNm p13� ON ACCOUNT OF APPROPRIATION NO. FOR TItTTMAN
E yre rm Euwa� Mr�rtT
(OFFICE, BOARD, DRARTWOfr OR IN ION) "rt. MOO
READING +A
FROM TO AUTO Ad1LEAG£
DATE READING
)a o q NATURE OF BUSINESS MILES 5. p r
POINT POINT START FINISR TRAVELED PER WLY
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AUTO LICENSE NO, TOTALS
74.54 If, Imp
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 due, after allowing all just credits
end that rin part of kh same has been paid,
Date
MAR Y 1 2009 1
BY:
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)) Amount
2127/09 reimb. Mileage 116109 2(27/09 W B 41.16
Total 41.16
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
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
41.16
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343004 41.16 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
25 -Mar 2009
Signature
41.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund