HomeMy WebLinkAbout170544 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 360491 Page 1 of 1
0 I ONE CIVIC SQUARE ERIC PURNELL
CARMEL, INDIANA 46032 12185 PE86LE ST CHECK AMOUNT: $68.97
,ate UNIT 300 CHECK NUMBER: 170544
FISHERS IN 46038
CHECK DATE: 411!2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343004 68.97 TiZAVEL PER.DTEMS
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PRESCRIBED BY STATE BOARD OF ACCOUNTS lau uV Qt GENERAL CORM RC. IQI (1986)
P
lans�e� pate
pitrovoe, MILEAGE CLAIM i .Q
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(GOVERNMENTAL UNIT) T RPi ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD. DEPARTMENT OR INSIRUTION)
SPEEDOMETER AUTO MILE
DATE, FROM TO I READING NATURE OF BUSINESS MILES r
2A POINT POINT START FINISH TRAVELED P MILE
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n f rian t
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AUTO LICENSE NO. TOTALS f `S
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
g Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits
end that no a ri of the same has been paid.
Dat
MiAf� 2009
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
Purnell, Eric
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
68.97
2f2glOg Reimb Mileage 1!5!09 2127/09 TM
Total 68.97
1 hereby certify that the attached invoice(s), or bi11(s) 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.
Purnell, Eric Allowed 20
In Sum of
68.97.
ON ACCOUNT OF APPROPRIATION FOR
104 Program
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1046 reimb. 4343004 68.97 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
68.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I