172743 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 361920 Page 1 of 1
ONE CIVIC SQUARE DAVID BITTELMEYER CHECK AMOUNT: $57.20
CARMEL, INDIANA 46032 8195 WESTFIELD BLVD
o INDPLS IN 46240 CHECK NUMBER: 172743
CHECK DATE: 512712009
DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE
1046 REIMB 57.20 TRAVEL PER DIEMS
PRESCRIBED By sTAIE BOARD OF ACCOUNSS SWA&L FORIA 11G. 101 IIW6]
7 MILEAGE CLAIM e
G5� (G-OVEANHENrAL UNIT] ON ACCOUNT OF APPROPRIATION NO. FOR
(OF:ICE, BOA, RD. DFPAATYQM OR lHSriTUISON)
SPEEDOMETER AUTO 11I1��GE
DATE
FROM TO READING f NATURE OF BUSINESS MILES Cd SS
26 0 Ck POINT POINT START FINISH TRAVELED PER MILE
N 13 nD If
14 CT Ma o
u H 4c�
A d n 4 U
L► u FA OA D„ u 4�
L i 1,3 Aall tf 4d
`1 24 CT Mc�.cn Li k
tf c
O
AUTO LICENSE NO- TOTALS I Ian
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
r 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 claime 's legall abowin all just credits
'end that no part the same has been paid. 1
z Date 1
MAY 1 3 2 0 09 I t s
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.
361920 Bittelmeyer, David Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
511109 Reimb. Mileage 4113109 511109 57.20
Total 57.20
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
i I
I
Voucher No. Warrant No.
Bittelmeyer, David Allowed 20
361920
In Sum of
57.20
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rT AMOUNT Board Members
Dept
1046 Reimb. 4343004 57.20 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
21 -May 2009
Signature
57.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund