HomeMy WebLinkAbout171857 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 358815 Page 1 of 1
ONE CIVIC SQUARE JOANNE GUIEB CHECK AMOUNT: $213.40
CARMEN, INDIANA 46032 7 HARRISON AVENUE
WHITESTOWN IN 46075 CHECK NUMBER: 171857
CHECK DATE: 4129/2009
DEPARTMENT ACCOUNT PO NUMBER N UMBER A MOUNT DESCRIPTION
1046 4343,004 213.40 TRAVEL PER DIEMS
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41 d
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1985)
MILEAGE CLAIM 1
TO -�.J D tk tV ttJ I✓ V J
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER MILEAGE
DATE FROM TO R ADING AUTO
POINT E POINT START FINISH NATURE OF BUSINESS MILES C' e
E TRAVELED PER MILE
a _S _i .__rte
3 9
3 PO
Ann InAn J W -5
2 acs
C? �A
t
PA E
W c�
J SM .V t✓ S v;� `iz t C? �J-1 �)'1 t� S 5
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 all just credits
and that no part of the same has been paid.
Date y 5.
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,
358815 Guieb, Joanne Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/15/09 Reimb Mileage 312/09 4/10/09 213.40
Total 213.40
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
Voucher No. Warrant No.
358815 Guieb, Joanne Allowed 20
In Sum of
213.40
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb 4343004 213.40 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
22 -Apr 2009
Signature
213.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund