HomeMy WebLinkAbout177170 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 360282 Page 1 of 1
ONE CIVIC SQUARE ALICIA DECKARD
0
CARMEL, INDIANA 46032 8147 W 1050 S CHECK AMOUNT: $18.70
4,. 0 0 FORWILLEIN 46040 CHECK NUMBER: 177170
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CHECK DATE: 9/15/2009
DEP ACCOUNT PO N UMBER INV OICE NUMBER AMOUNT DESCRIPTIO
1046 4343004 18.70 TRAVEL PER DIEMS
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORL No. lei (1466)
MILEAGE CLAIM U CL Cat.- a C r, nI
TO V/
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF, BOARD, DEPAATUD(r OR INSTTTUriON)
FROM TO SPEEDOMETER AUTO J(ILEAG
2 6 r) READING MILES (y c
—L 1 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
r
I
L
TO LICENSE NO. TOTALS D Z o
SPEEDOMETER READING -'s coiumns 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 aliowing all just cre s
end that no Part of thf. same has been paid.
Date
1 4
AUG 2 6 2009 r
\Y•
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.
360282 Deckard, Alicia Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/31/09 Reimb. Mileage 7/22 7/29/09 18.70
Total 18.70
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Vouct-er No. Warrant No.
360282 Deckard, Alicia Allowed 20
In Sum of
18.70
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004. 18.70 I 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
10 -Sep 2009
Signature
18.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund