HomeMy WebLinkAbout170813 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 360282 Page 1 of 1
ONE CIVIC SQUARE ALICIA DECKARD
CARMEL, INDIANA 46032 8147 w 1050 s CHECK AMOUNT: $243.10
FORTVILLE IN 46040 CHECK NUMBER: 170813
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
,.4046 4343004 243.10 TRAVEL PER DIEMS
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1486)
MILEAGE CLAIM( J
ro
(GOVERNMENTAL UNlT7
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF710E BOARD, DUA- RTMF](T OR 1NSnTUTION)
t)� FROM TO I V READING AUTO t 57 �E C
Za POINT t POINT START FINISII NATURE OF BUSINESS 7RAVELE4 Cw PER MILE 4
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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, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits r
end that no pail o the same has been paid.
Date
MAR 2 5 2009
PRESCRIBED BY STAT[ BOARD OF ACCOUNTS ,,��yy GERRRAL FORM NO. ICE {79867
MILEAGE CLAIM (i l� L �(tJr
IGOVEANMENTAL UNIT]
ON ACCOUNT OF APPROPRIATION NQ FOR
(OMCE, BOARD. DEPARTMEKT OR INSTITUTION)
6PEEDOMETEIt
tAILEILGE
DATE FROM To READING NATURE OF BUSINESS MILES c Izi
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2'0 —!Cl POINT POINT START FINISH TRAVELED
PER MILE
PT 022 04
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AUTO LICENSE NO. TOTALS I j
i
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, a r aliowing all j -credits
and that no part of the same has been paid. 1 f
Date la��l
r� i
EC .s j J
MAID 2 5 2009
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
3120/09 Reimb. Mileage 117109 3120109 PT 243.10
Total 243.10
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.
360282 Deckard, Alicia Allowed 20
In Sum of
243.10
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 243.10 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
8 -Apr 2009
Signature
243.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund