HomeMy WebLinkAbout168583 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362020 Page 1 of 1
ONE CIVIC SQUARE DAWN LINGELBAUGH CHECK AMOUNT: $20.16
CARMEL, INDIANA 46032 1089 HALFMOON LANE
CICEROIN 46034 CHECK NUMBER: 168583
CHECK DATE: 2/4/2009
DEP ARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
1201 4343002 20.16 EXTERNAL TRAINING TRA
4'.
PRESCRIBED BY STATE BOARD OF ACCOUNTS G ENE RAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO .d
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING NATURE OF BUSINESS MILE 52' MILEAGE 0
POINT POINT START FINISH TRAVELED PER MILE
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1
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AUTO LICENSE NO. TOTALS
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,,;s just and correct, that the amount claimed is lega ly due, after llowing all just credits
and that no part of the same has been paid.
Date
t
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
ZO I q-50-02— That it is in proper form.
That it is duly authenticated as required
ep by law
That it is based upon statutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Shelly Ling elbaugh Purchase Order No.
Terms
A Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/30M
$20.16
Total
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.
02/02/09
ALLOWED 20
S Lingelbaugh
IN SUM OF
$20.16
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
.16 materials or services itemized thereon for
which charge is made were ordered and
received except
20
c
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
