168154 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $25.21
INDIANAPOLIS IN 46208
CHECK NUMBER: 168154
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343000 REIMB 25.21 TRAVEL FEES EXPENSE
FPTSCPIACD HT STATE BOARD OF ACCOUNTS
GENERU FOPY 1 +0. 101 [17851
MILEAGE CLAIM
TO
(GOVERNMENTAL (GOVERNMENTAL WIT) ON ACCOUNT OF APPROPRIATION NO, 1 1KE65 A
FOR 1TTMA�
Cyrr m
[Or:7CY,
BO ARD. DEPAATWXKT OR INSRTUTICH)
FROM TO SPEEDOMETER AUTO MUkGE
DA READING
24 NATURE OF BUSINESS MILES
POINT POINT START FINISH TRAVELED PER MILE
✓NA AJ-e 4-.
9 b Wo b aD At_W ,GCWELI b. `7
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ax—
AUTO LICENSE NO, TOTALS
SPEEDOMETER READING•columns are to be u only whey distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the p ovisio Pe of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount cl le q ue, a ter allowing all just credits
end t of e s n aid. r
Date
JAN 0 5 2009 s;
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
359461 Pittman, Nikeesha
Date Due
2713 Highland Place
Indianapolis, IN 46208
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
25.21
12/18108 reimb. Mileage 12/04/08 12/18/08
Total 25.21
1 hereby certify that the attached invoice(s), or bill($) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20____
Clerk Treasurer
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
25.21
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1046 reimb. 4343000 25.21 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
6 -Jan 2009
Signature
25.21 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund