HomeMy WebLinkAbout170324 04/01/2009 CITY OF CARMEL, INDIANA VENDOR 358408 Page 1 of 1
ONE CIVIC SQUARE TIFFANY BUCKINGHAM
CARMEL, INDIANA 46032 5130 PRIMROSE AVE CHECK AMOUNT: $117.70
INDIANAPOLIS IN 46205
CHECK NUMBER: 170324
CHECK DATE: 4!7!2009
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1046 4343004 REIMB 117.70 TRAVEL PER DIEMS
PRESCRIBED BY STATE BOARD Or ACCOUNTS GENERAL FORM IIG. 101 11"F)
MILEAGE CLAIM
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(OOVFRI ENTAL 614111 ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, HOARD. DEPAPTMXKT OP INSTrnrrlON)
DATE FROM TO S NATURE OF BUSINESS A UTO !E C 2� aq POINT POINT START FI TAAVELfiD MUSH PER MILE
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AUTO LICENSE NO. TOTALS I
SPEEDOMETER READING columns are to be used Only when distance between points cannot be determined by fixed mileage or official highway map,
j Pursuant to the provisions and penalties of Chapter 155, Ads 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legal] us, after aliowing all just credits
and that no part of the same has been paid.
a Date
MAR 1 8 2009
nom..• ;T.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of biil 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.
358408 Buckingham, Tiffany Terms
Invoice Invoice Description
Date Number 117.70
or note attached invoice(s) or bill(s)) Amount
3113109 Reimb. Mileage 2!2!09 311 3109 CT
Total 117.70
l 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
Voucher No. Warrant No,
358408 Buckingham, Tiffany Allowed 20
In Sum of
16
117.70
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 117.70 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
25 -Mar 2009
Ta�� �I'L
Signature
117.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I