170311 04/01/2009 CITY OF CARMEN., INDIANA VENDOR: 361920 Page 1 of 1
ONE CIVIC SQUARE DAVID BITTELMEYER
CARMEL, INDIANA 46032 8195 WESTFIELD BLVD CHECK AMOUNT: $92.40
INDPLS IN 46240 CHECK NUMBER: 170311
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUN DE SCRIP T ION
1046 4343004 REIMB 92.40 TRAVEL PER DIEMS
Purchase ti
p ,,cription P or F
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PRISCRIELD BY STATE BOARD Or ACCOUNTS G.L. GENERAL FORM NO 10 (]986J
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+R AUTO DUI.EAGE
DATE FROM TO I READING
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Q.- POINT POINT START FINISH TRAVELED PER MILE
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SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map,.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is egally due, after allowing all just credits
r end that no p4rri ol the same has been paid.
Date 3 /rp Z- l
F 077FTVIRD
1 2009
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
361920 Bittelmeyer, David Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/09 Reimb. Mileage 2/9/09 3/6/09 CT 92.40
Total 92.40
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and i have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Bittelmeyer, David Allowed 20
361920
I n Sum of$
'4
92.40
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 92.40 l 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
25 -Mar 2009
Signature
92.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I