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