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HomeMy WebLinkAbout172918 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 362020 Page 1 of 1 ONE CIVIC SQUARE DAWN LINGELBAUGH CHECK AMOUNT: $15.95 ?o CARMEL, INDIANA 46032 1089 HALFMOON LANE M o CICERO IN 46034 CHECK NUMBER: 172918 CHECK DATE: 5/27/2009 DEPARTMENT ACCOUNT PO N UMBE R IN VOICE NUMBER A MOUNT DESCRIPTION 1201 ^r 4343002 15.95 EXTERNAL TRAINING TRA PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGE CLAIM TO (GOVERNMENTAL UN 7q��Vy) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTMJTI SPEEDOMETER AUTO MILEAGE DATE p FROM TO READING NATURE OF BUSINESS TRAVELED 0 49 POINT POINT START FINISH PER MILE Th LL_ e -5 mac r D p C14 L 2 AUTO LICENSE NO. TOTALS OL 5S 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 accqunt is just and correct, that the amount claimed is legally due, after allowing all just credits and that no part o f the same has been paid. Date Claim No. Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows.. That it is in proper form. That it is duly authenticated as required l �y) by law 4,3 That it is based upon statutory authority. That it is apparently correct incorrect l Disbursing Officer On Account of Appropriation No. for o tr' a p. c+ n o cP, Allowed 19_ �r m m in the sum of M w m. w b co f✓ M m Q+ n 0 o -.0 4 (Board or Commission) 0 EL FILED rt m. P1 (P a M M co (Official Title) f W A.E. BOYCE CO., INC. "CIE, IN 01136 A- Prescribed 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 Lingelbaugh Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total $15.95 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. 05 2 RANT NO. ALLOWED 20 IN SUM OF $15.95 ON ACCOUN �A? RIATION FOR FUND 1201 Human Resources Board Members D INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1201 bill(s) is (are) true and correct and that the 15.95 materials or services itemized thereon for which charge is made were ordered and received except 20 f Si ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund