HomeMy WebLinkAbout167913 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 361920 Page 1 of 1
ONE CIVIC SQUARE DAVID BITTELMEYER
4 CHECK AMOUNT: $89.51
CARMEL, INDIANA 46432 8195 WESTFIELD BLVD
iNDPLS IN 46240 CHECK NUMBER: 167913
CHECK DATE: 1/2112009
D EPARTMENT ACCOUN PO NUMBER INVOI NU MBER AMOUNT DESCRIPTION
1046 4343000 89.51 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM HO. IQ) t]Ve67
MILEAGE CLAIM
k. 1 I� C seGv Fro TO
(OOVYRNMENTAL UNM ON ACCOUNT OF APPROPRIATION NO. FOR
tOF,ICE, BOARD, DEPAATIQHT OR INSTETUTION)
FROM TO SP EADING EEDOMETER AUTO EASE
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2a G POINT POINT START FINISH
DAT R NATURE OF HUSINES6 MILES [y J
TRAVELED PEAS
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AUTO LICENSE NO. TOTALS j f n
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 foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits
end that no art of the same has been paid. I
Date S l z�y t
1
JAN 0 5 2009
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
r
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)) Amount
12/30/08 Reimb. Mileage 12/01108 12130/08 89.51
Total 89.51
I 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
1
Voucher No. Warrant No.
Bittelmeyer, David Allowed 20
361920
In Sum of
89.51
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343000 89.51 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
6 -Jan 2009
Signature
89.51 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund