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