172801 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 360417 Page 1 of 1
ONE CIVIC SQUARE JESSICA DAVIS CHECK AMOUNT: $36.30
CARMEL, INDIANA 46032
CHECK NUMBER: 172801
CHECK DATE: 5/2712009
DEPARTMEN ACCO PO NUMBER IN VOICE NU MBER AMOUNT DESCRIPTION
1046 4343004 REIMB 36.30 TRAVEL PER DIEMS
I
PR.L4CRIRLD H7 STATr HOARD OF ACCOUNTS GrxRAAL roRN NG. IN 0q9�
MILEAGE CLAIM
t
TO f
�Al�*��L LAS{ 142>�S ov�ID �E1�10r~I I C,l V I�
tGO1ERNXMTAt. UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR -j
ExsENDFD ►1 OR !{M
tar7ce, a ARD, DarARn�xT OR txsrmrrtax)
SPEEDOMETER FROM TO READING AUTO ILE
DATE r
S CAL
28 POINT POINT START FINISH NATURE OF BUSINESS M
TRAVELED
PER 3.iIt.E
U I
AUTO LICENSE NO. TOTALS
S READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. r
Pursuant to the provisions and penalties of Chapter 185, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, aft alto g a t
zRtd that no part of the same has been paid
Date
f
MAY 0 7 1009"
E 7:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
360417 Davis, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/30109 Reimb. Mileage 4/1/09 4/30/09 WB 36.30
Total 36.30
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
360417 Davis, Jessica Allowed 20
In Sum of$
t
r
36.30
,1
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 36.30 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
21 -May 2009
ZIL
Signature
3650 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund