HomeMy WebLinkAbout171745 04/29/2009 CITY OF CARMEL, INDIANA VENDORS 361920 Page 1 of 1
ONE CIVIC SQUARE DAVID BITTELMEYER CHECK AMOUNT: $91.30
CARMEL, INDIANA 46032 8195 WESTFIELD BLVD
1NDPLS IN 46240 CHECK NUMBER: 171745
CHECK DATE: 4/2912009
D EPA R TMENT AC COUNT PO N UMBE R INVOICE N UMBER -Y AMOUNT DESCRIPTION
1046 4343004 T— 91.30 TRAVEL PER DIEMS
'4,
PRESCRIBED HT STATE BOARD Or ACCOUNTS GENFRAL FORM IIO. 101 1198M
MILEAGE CLAIM �a�11GQ 1-�-���M
C C, i7 p o
V e- (GOVERNMENTAL UNI
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE. BOARD, DFPAATI@rr OR TNSTFRTr1ON)
r SPEEDOMETER
DATE FROM TO I READING f- AUTO 11ILEA.GE
Za �q NATURE OF BUSINESS MILES Ca Y�
POINT POINT START FINISH TRAVELED PEAS
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AUTO LICENSE NO.
TOTALS 14 (0 C, 5U
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 allowing all just credits
and that no part of the same has been paid.
Date 1 Loo9 a�1
1�
a BN LII l
APR 14 2009
$Y:..
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
361920 Bittelmeyer, David Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
412109 Reimb. Mileage 319/09 412/09 CT 91.30
Total 91.30
1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
Bittelmeyer, David Allowed 20
361920
In Sum of$
91.30
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 91.30 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
22 -Apr 2009
Signature
91.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund