207035 03/13/2012 CITY OF CARMEL,, INDIANA VENDOR: 365676 Page 1 of i
ONE CIVIC SQUARE JESSICA EVANS CHECK AMOUNT: $86.58
4,= CARMEL, INDIANA 46032 CIO PARKS
CHECK NUMBER: 207035
CHECK DATE: 3/1312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 86.58 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAL NG. 101 (19851
MILEAGE CLAIM J TO %C( �yQ�
�-J �.d V 1 1
(aovERNM"TAL UNITI
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF210E HOARD, OEJAATNEWr OP INSTr7WION)
SPEEDOMETER
FROM TO AUTO IdII.EA,GE
DAT I BEADING NATURE OF BUSINESS SS. S C
Zo POWT POINT START FINISH
PER MILE
Rao
t
I
1 v
i 1 I
l
i
nL Cl
3
AA
AUTO LICENSE NO- TOTALS
SPEEDOMETER READING columns are to be used omly 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 is just and correct, that the amount claimed is legally due, after aliowing all just credits
and that no part of the same has been paid.
Date
FEB 2 4 2012
I
�'2
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.
365676 Evans, Jessica Terms
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2123112 Reimb Mileage 115 2123/12 86.58
Total 86.58
f 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.
365676 Evans, Jessica Allowed 20
In Sum of
86.58
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 -9 Reimb 4343000 86.58 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
8 -Mar 2012
P&jyon.rny'
Signature
86.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund