HomeMy WebLinkAbout173720 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 359600 Page 1 of 1
ONE CIVIC SQUARE HELEN BALLINGER
s. o CARMEL, INDIANA 46032 12913 CURRIER STREET CHECK AMOUNT: $32.29
CARMEL IN 46032
CHECK NUMBER: 173720
CHECK DATE: 6/24/2009
DEPARTMENT ACC PO NUMB INVOI NUMBER AM OUNT DESCRIPTION
1125 4343004 32.29 TRAVEL PER DIEMS
PRESCRIBED By STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 919667
MILEAGE CLAIM
�A2AcEL. eLAY PA,49,5 V- 2eclzE>4 To
(GGVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATIQN NO. FOR.
o L, 5.5 5(,g1 -IG(S 'M--(,
IoF:FCE BOARD, DEPARnMa OR INSTITLITION)
FROM FMO SPEEDOMETER AUTO MILEAGE
DA 1 READING
POINT W POINT START FINISH NATURE OF.HUSINESS 9RAVELED
PER MILE
M
H -alL.
Art
DePasrr
A 17.M 1 �t
rI
1 0 r
LI gyt
T C. w
)1 ti
L4
.6 .f1aeTllrt+ {Ali Y) I W6 0
I Qv vs I- l
If
�I ,l li IC �lfu�Ali X`1�l�ivr �C rr 1 f
it
G l A Ale -11
v5:� G Vr1.t vwr �f�1+y E
AUTO LICH•ISE NO. ft T A, r Y
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map, c
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 leg all jus credits.
and that no part of the same has been paid. G
':i: chase
Date .)escription
r♦
?.O.# PorF
a
G.L.
Budget J 0 8 209
Line Descr
Purchaser Date
Approval o Date
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.
359600 Ballinger, Helen Terms
12913 Currier Street
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
618109 Reimb Mileage 4114/09 612109 32.29
Total 32.29
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
359600 Ballinger, Helen Allowed 20
12913 Currier Street
Carmel, IN 46032
In Sum of
32.29
,a
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4343004 32.29 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
18 -Jun 2009
Signature
32.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund