HomeMy WebLinkAbout205604 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 291507 Page 1 of 1
ONE CIVIC SQUARE TED SPEARMAN
i
CARMEL, INDIANA 46032 8291 COURTNEY DR CHECK AMOUNT: $16.88
FISHERS IN 46038 CHECK NUMBER: 205604
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8.44 OTHER EXPENSES
651 5023990 8.44 OTHER EXPENSES
Prescribed by State Bonid of Ace011mB Genentl Form NO. io I (1956)
MILEAGE CLAIM
jjL I o 1 a "i
(Govenmtental u1m)
ON ACCOUNT OF APPROPRIATION NO. FOR
(Office. Hoard, Department or Igslitution)
AUTO M11-ES imiLEAGE ct, .51 PER
DATE FROM TO SPEEDOMETER READING+ NATURE OF BUSINESS TRAVELED MILE
20 PCINT POINT START FINISH
Jan 5 Utility Office South Plant /Water Plants 48325.1 48358.2 State Board of Accounts Inventory Audit 33.1
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AUTO LICENSE NO. TOTALS 33.1 844
SPEEDOMETER READING eolunuts are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to t he provisions and penalties of Chapter 155. Acts 1953, 1 hereby certitj' that the foregoing account is just and correct, that the amouor. claimed is IC-ally d ter al %v na al Ist credits, and that on part of the same has been paid.
Date
t
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYAB�UQHER
TO�
ADDRESS
Invoice Date Invoice Number Item Amou
r'/ 7
ID41LA or Co o J ti -73 L0
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
19
Signature Title
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.
19
ffi r Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
Favor Of
z r�
Total Amount of Voucher
Deductions
Amount of Warrant
Month of 19
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325
Prescribed b_v State Board of Accounts General Form NO. 101 (1956)
MILEAGE CLAIM
o oll/11� ll
DR.
(Governmental Unit)
ON ACCOUNT OIT APPROPRIATION NO. FOR
(Office. Board, Department or Institution)
AUTO MIL1 MILEAGE n .5I PER
DATE FROM TO SPEEDOMETER READING+ NATURE OF BUSINESS TRAVELED MILE
20� POINT POINT START FINISH
jail 5 Utility Office South Plant /Water Plants 483325.1 48358.2 State Board ol Accounts Inventory Audit 33.1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
AUTO LICENSE NO. TOTALS 33.1 8 44
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, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due allowing all t credits, and that on part of the same has been paid.
Date
Prescribed by State Board of Accounts ACCOUNTS PAYABLE UC R
Form No. 301 -5 (Rev. 1995)
TO 1'J
ADDRESS
Invoice Date Invoice Number Item Amount
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
1 19
Sig ture Title
i(are) I hereby certify that the attached invoice(s), or bill(s), true a correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
19
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA NO.
Favor Of
Total Amount of Voucher
Deductions
J
Amount of Warrant
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325