Loading...
HomeMy WebLinkAbout168776 02/05/2009 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1 ONE CIVIC SQUARE PAMELA GRIFFITHS r CHECK AMOUNT: $35.10 CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE CARMEL IN 46033 CHECK NUMBER: 168776 CHECK DATE: 2/512009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION =1202 4343002 35.10 EXTERNAL TRAINING TRA PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGE CLAIM TO (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) SPEEDOMETER DATE FROM TO READING NATURE OF BUSINESS MILE 5 0 19 POINT POINT START FINISH TRAVELED PER MILE c lSLi. -ICS 7, 1 1 1 P1L (J G A 3 c� GG u 3 w lir4VL /V f rL a �„/A ee ai hr i �l 0$ Cc_ C 1 !E u c Gt' a u. b 1 09 v- (s rvl z c- 11.2 e 0 4 r q rf c r, c ccG c Aq i T V W V I& 4/- N G U 0/ e P Gtr o G- 0 1 r W O Pt-r- 6 0 G L Lt i/�4 L L 4 d ROCIP101 GI J a 0 3 �r e Gc WD 6- 4Z 5 -e w(1 L'cC- c �i cwl rte. l fa 1 v csGC fh� J 3 i �J4A 2 D'� 161v Ci Q ✓LQ 11 3 e d 3 a (:c eaL a nr�n AUTO LICENSE NO. TOTALS 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 is legally due, after allowing all just credits and that no part of the same has been paid. Date �LI 1 Claim No Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows: That it is in proper form. PO4 r That it is duly authenticated as required by law That it is based upon statutory authority. That it is apparently correct incorrect Disbursing Officer On Account of Appropriation No. for o tr• w a� a is p w m o 0 m m p n Allowed 19 ID w m K m in the sum of b m y w m w tr CL CD w y ra r* C (D' y (D O. o n `C (Board or Commission) 0 CL cD rt FILED m w M m w M a m a m W fr (Official Title) O O O- p- (D m A.E. BOYCE CO., INC. MUNCIE, IN 01136 k o 0 PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1966) MILEAGE CLAIM 5 A (J AM TO (GOVERNMENTAL vxrr) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) SPEEDOMETER AUTO MILEAGE DATE FROM To READING NATURE OF BUSINESS MILES �jQ C 19 POINT POINT START FINISH TRAVELED PER MILE Q C z r W Alr%t. Gi 1 I n 0 1 G�V i c; 6, Gt GL GG I r /4 V 0 t7 ar f t 16 6AX aV& %?f 'vf 61 [I lia :91� cc 14 e r -Gc b 5-- Wa4 1 6 C CcG 3 i 5rwIE5 Ivid a V1 L O L G.6 oc t 6 C C- 6 r v v, r 0,&- cc L l A W -1, C C- G 6a(Ai, 7h 4 ri r`w D Ili D A&I Wo i wh Cy I- I aVIL -54W" QtA4, c� CA C E C4 qtA AUTO LICENSE NO: TOTALS 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 accour_# is just and correct, that the amount claimed is le a after allowing all just credits and th o part of the same has been paid. Date Claim No. Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows: 1 fl That it is in proper form. That it is duly uthenticated as r Y q by law That it is based upon statutory authority. That it is apparently correct incorrect Disbursing Officer On Account of Appropriation No. for C p m n l g :allowed 19_ in the sum of I m w (0 m M r a m 0 n �e ':1 (Board or Commission) a CD FILED CA rt n M m w ;Z. rA LA (Official Title) o 0 W <m. m A.S. SOYCE CO., INC. MINCIS, IN 01136 t i' j Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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 Pam Griffiths Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/0 Total 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. 20 Clerk- Treasurer VOUCHER InJQ24WWARRANT NO. Pam rl I S ALLOWED 20 IN SUM OF $7020 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1202 Information Systems Board Members PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1202 0 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 20 Signa Title Cost distribution ledger classification if claim paid motor vehicle highway fund