HomeMy WebLinkAbout179690 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY
i CHECK AMOUNT: $338.25
CARMEL, INDIANA 46032 C/O DEPT OF LAW
C/O DEPT OF LAW CHECK NUMBER: 179690
CHECK DATE: 11124/2009
DEP A CCOUNT PO NUM INVO N UMBER AMOUNT DESCRIPTION
1180 4343004 REIMB 338.25 TRAVEL PER DIEMS
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Claim No. Warrant No. I have examined the within clai
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticate
by law
That it is based upon statut
That it is apparently
y3o Disbursing Officer
On Account of Appropriation No. 5�30 0 9' for
Allowed 19
in the sum of
(Board or Commission) NO
FILED
(Official Title)
A.E. BOYCE CO., INC. MUNCIE, IN 01136
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO C
and hereby
RNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. 3 O FOR
EPA NT OR INSTITUTION)
as required SPEEDOMETER
3c FROM TO READING NATURE OF BUSINESS MILES MILEAGE Q
ry authority. POINT POINT START FINISH TRAVELED PER MILE
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o (D iING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
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o visions 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
g ie same has been paid.
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