HomeMy WebLinkAbout206822 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
0 ONE CIVIC SQUARE MEAGAN STORMS CHECK AMOUNT: $91.63
CARMEL, INDIANA 46032
CHECK NUMBER: 206822
CHECK DATE: 212 812 01 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 91.63 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS j 1 GENERAL FOR11110. 101 (1986)
MILEAGE CLAIM j 1
TO 1
(GOVERNMENTAL U)4111
ON ACCOUNT OF APPROPRIA O NO. FOR
(OF7CE, BOARD, DEF"T6(Oa OR INSRTUTION)
DA FROM TO SPEEDOMET
N .t
G om AUTO
2- POINT POINT STAA7 FINISH NATURE OF BUSINESS TRAVELED r
PER MILE
o v
7 F t S
1 n Lh o -71 0�
'0i on C,
t n 7 4 s
i S CAI 0 a I 7. 3
3 0
1 'r 1 0�,�-,Oviotl
'7
k S
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rnon
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Lt-
AUTO LICENSE NO. TOTALS
6
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 i9 just and correct, that the amount claimed is legally due, after aliowing all just credits
end that no pars of the same has been paid.
Date
n
FEB 1 3 2012
�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. i
363382 Storms, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1131112 Reimb Mileage 113 1131112 91.63
Total 91.63
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
363382 Storms, Meagan Allowed 20
In Sum of
91.63
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 91.63 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
23 -Feb 2012
?L I'1//Y11 l
Signature
91.63 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I