HomeMy WebLinkAbout176143 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 361920 Page 1 of 1
i ONE CIVIC SQUARE DAVID BITTELMEYER
CARMEL, INDIANA 46032 8195 WESTFIELD BLVD CHECK AMOUNT: $115.50
�NDPLS IN 46240
CHECK NUMBER: 176143
CHECK DATE: 8/19/2009
DE PARTME N T A CCOUNT PO N UMBE R INVOICE NUMB AMOUN DE SCRIPTION
1046 4343004 REIMB 115.50 TRAVEL PER DIEMS
PRESCRIBED BY STATE BOARD OF ACCOUNTS pp GENERAL FORId IC. 101 (1"S)
MILEAGE CLAIM ,y JD�V iC)l l> t 1 "rC'
t C+O IN)SE UN11}
ON ACCOUNT OF APPROPRIATION NO. FOR
CdFFICE. BOARD. DEPARTbWfT OR INSTITUTION)
r S EEDO METER AUTO Mit.$�E
DATE FROM TO C READING NATURE OF BUSINESS
MILES N
Za Oa POINT POINT START FINISH TRAVELED PER MILE
M� k
5, 40
(o CT- u 4 0
5 7 c� Mo•, Ll C, 0
_cT ..on t� ko
b C-\ W 4D
4-
s I o. H (4
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1 u LA
S I vT rs 4 Li
u 4 0
S 1.0
S Z1 I G' M @n :n 4 y 0
2Z cT n 4 D
L5— I CT M 1-1 440
Vo 11 C Y M6^0 M 4
S -1 4
Lq 4 0
u 4 0
Li
1 T- cT C G f19 e�� cizc i 0
5' 2 (T ^too er rr� 0 2 to
AUTO LICENSE NO. TOTALS no S 50
F 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 loregoing account is just and correct, that the amount clai ally_ue, ft r ving all
and that no part of tlp s has b n paid.
Date C5
e
oQ oD�-- q �q'�
I, N
JUL 3 0 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
361920 Bittelmeyer, David Purchase Order No.
Terms
Date Due
Invoice Invoice
Date Description
Number (or note attached invoice(s) or bill(s)) PO
7128/09 Reimb. Mileage 5/4/09 5/29/09 Amount
115.50
I hereby certify that the attached invoice(s), or blll(s) is (are) true and correct and I have audited same in accordance
115.50
with IC 5- 11- 1Q -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
Bittelmeyer, David Allowed 20
361920
I n Sum of
115.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 115.50 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
13 -Aug 2009
Signature
115.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund