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HomeMy WebLinkAbout169921 03/18/2009 a *f CITY OF CARMEL, INDIANA VENDOR: 358815 Page 1 of 1 ONE CIVIC SQUARE JOANNE GUIEB 0 CHECK AMOUNT: $394.29 CARMEL, INDIANA 46032 7 HARRISON AVENUE WHITESTOWN IN 46075 CHECK NUMBER: 169921 CHECK DATE: 3/18/2009 DEPARTMENT ACCOUN PO N UMB ER INV NUMBER AMOUNT DESCRIPTION 1046 4343004 394.29 TRAVEL PER DIEMS t PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 141 (1986) MILEAGE CLAIM TO )fi�Jl� 7 1) (GOVERNMENTAL. UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) DATE FROM TO SPEEDOMETER READING AUTO MILEAGE NATURE OF BUSINESS MILES Q POINT POINT START f FINISH TRAVELED PER MILE t l S Ls` A( D Ai 0 A 1 l F E oa CD �S C9 AUTO LICENSE NO. r R 1 TOTALS L tpsr q D Description r or F UPEEDOMETER READING columns are to be used only when distance between points can de# r official highway map. �W Pursuant to the provisions and penalties of Chapter 155, Acts 1953, l hereby certify that thofLogP o I St rt c rrect, that the amount claimed is legally d e, a ft r aliowi all just credits end that no part of the same has been paid. n e get 1 77 TED D ate Date �urvi. Date FEB 2 7 2 Provai— -f I i PRESCRIBED BY STATE BOARD OF ACCOUNTS GENT.RAL FORM NO. 101 (1"51 MILEAGE CLAIM I (nom E TO (GOVERNMENTAL UNI'n ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, HOARD, DEPARTMENT OR INSTITUTION) DATE FROM Tod SPEEDOMETER I READING AUTO AG ,s NATURE OF BUSINESS MILES C� s J c POINT POINT START FINISH TRAVELED PER MILE ot c i I I I AUTO-LICENSE NO. TOTALS i vim.+ 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 Cart* that the foregoing t ar- just and correct at the amount claimed is-leg ue, of r all just credits S' end that no part of the same has been paid. purchase I Date z%a /Q Description p or F G.L. yC I Budget r t Line Desc pater purchaser F 2 7 2009 Approval 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. Guieb, Joanne Terms f Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/20/09 Reimb Mileage 12/1108 2/20/09 394.29 Total 394.29 f 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. Guieb, Joanne Allowed 20 In Sum of 394.29 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Reimb 4343004 394.29 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 12 -Mar 2009 Signature 394.29 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund