HomeMy WebLinkAbout207151 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 365062 Page 1 of 1
ONE CIVIC SQUARE BASEL MAAROUF
CARMEL, INDIANA 46032 13239 MIDDLEWOOD LN CHECK AMOUNT: $12.65
FISHERS IN 46038 CHECK NUMBER: 207151
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CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 12.65 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD Or ACCOUNTS GENERAL FORK 1.0 W1 11486]
MILEAGE CLAIM
Td
(GOO LFkNMEN7AL UNITI
ON ACCOUNT OF APPROPRIATION NO. FOR
(OHICE, BOARD, DLF"TWWT OR INSnTUTIONI
DATE
FROM TO SPEEDOMETER AUTO M LEMSE
DA
26 POINT POTNT STAR7� NTSN NATURE OF BUSFNFS6 TAAV£LF. P
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AUTO LICENSE NO. TOTALS Z2 2 •w
SPEEDOMETER READING Columns are to be used only when distance between points cannot be determined hy.fixed mileage or official highway map
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, l hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits
end that no pail of the same has been paid.
Date
FEB 2 4 7012
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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.
365062 Maarouf, Basel Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/17112 Reimb Mileage 2/16112 12,65
Total 12.65
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- 14 -1.6
20_
Clerk Treasurer
i
Voucher No. Warrant No.
365062 Maarouf, Basel Allowed 20
In Sum of
12.65
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO, ACCT #ITITL AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 12.65 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
Signature
12.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund