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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