Loading...
HomeMy WebLinkAbout168169 01/21/2009 *f CITY OF CARMEL, INDIANA VENDOR: 361801 Page 1 of 1 ONE CIVIC SQUARE ALYSSA REYNOLDS i 0 CHECK AMOUNT: $26.32 CARMEL, INDIANA 46032 11410 BURKWOOD DRIVE CARMEL IN 46033 CHECK NUMBER: 168169 CHECK DATE: 1/21/2009 DEPARTMENT ACCOUNT PO NUMBER INV OICE N UMBER AMOUNT DESCRIPTION 1046 4343000 26.32 TRAVEL FEES EXPENSE PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAG3E CLAIM TO c (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION SPEEDOMETER. DATE READING FROM TO AUTO MILEAGE It NATURE OF BUSINESS MISS U S S POINT POINT S'T'ART FINISH TRAVELED PER MILE CK Olt e 11 8 :3 `b-E siG'r1 tNl D r Z 1 __V11) 0 3 a r C it i Q Ivimoin va 92 1,119 3 6 ni n 5 2009 .I AUTO LICENSE NO, TOTALS S o W 3 SPEEDOMETER READING columns are to be used only when distance between- points cannot be determined by fixed mileage or official highway map. Pursuant to: the provisions and penalties cf Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits 'Ind that no part of tbp same has been paid.- I Date U ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms 361801 Reynolds, Alyssa j Invoice jD Description Amount ate i(orinoite attached invoice(s) or bill(s)) 26.32 1918 12/19/08 Total 26.32 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20— Clerk- Treasurer Voucher No. Warrant No. 361801 Reynolds, Alyssa Allowed 20 In Sum of$ 26.32 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members Dept 1046 Reimb. 4343000 26.32 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 6 -Jan 2009 yah am""M i2l Signature 26.32 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund