HomeMy WebLinkAbout177627 09/29/2009 CITY OF CARMEL, INDIANA VENDOR. 363382 Page 1 of 1
i ONE CIVIC SQUARE MEAGAN DECKER
CARMEL, INDIANA 46032 CHECK AMOUNT: $84.D7
CHECK NUMBER: 177627
CHECK DATE: 9/29/2009
DEPAR TMENT ACCOUNT PO NUM INVOICE NUMB AM OUNT DES
1.046 4343004 REIMB 84.07 TRAVEL PER DIEMS
MSCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NC. ID) (INO
MILEAGE CLAIM d
(GOVERNMENTAL FNIT1
ON ACCOUNT OF APPROPRIATION NO. FOR
[Or lcE. BOARD DERAATuCwT OR INBttrimos)
DATE FROM TO I S HEADING AUTO WILEAGE
ES ISS7
20 POINT POINT START FINISH NATURE OF BUSINESS TRAVELEp
PER MILE
af GSA
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AUTO LICENSE NO. TOTALS
+.SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. v
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due fter afiowing all just credits r
and that no part of the same has been paid.
Date
p'
lD
SEP I o 2009
j
'o
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Decker, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9110109 Reimb. Mileage 814 8131109 84.07
Total 84.07
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with is 5- 11- 10 -1.6
,20_
Clerk- Treasurer
Voucher No. Warrant No.
Decker, Meagan Allowed 20
f
In Sum of$
84.07
R
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT XTITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 84.07 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
24 -Sep 2009
Signature
84.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund