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207230 03/13/2012
CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1 ONE CIVIC SQUARE MEAGAN STORMS CHECK AMOUNT: $76.56 CARMEL, INDIANA 46032 CHECK NUMBER: 207230 CHECK DATE: 3/1312012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 76.56 TRAVEL FEES EXPENSE PRLSCRIKO HT STATE BOARD Or ACCOUNTS �V �EMTRAL FOT4 NG. 401 149867 MILEAGE CLAIM TO (OOVEAMMLNTAL uNm ON ACCOUNT OF APPROPRIATION NO. FOR tOi ICE. BOA RU, DE?ART(OfT QR INS'nn7TION) SPEEDOMETER DA FROM TO READING AUTO bll) E NATURE OF RU5IN£SS WLES POINT POINT START FINISH TRAVELED PER MILE Motlon i t a VV n tl1/lutl n l 73 S Mehl h[ -71 U oJla� f 00 od 6 5 t rA Di VT -i.S LA 0 onon S ,,A,- s anon 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. 7G, 5( 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 allowing all just credits end that no pars of the same has been paid. fl Date r 3�{30©� 77-7 e 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. 363382 Storms, Meagan Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 2128112 Reimb Mileage 211 2128/12 76.56 Total 76.56 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, 363382 Storms, Meagan Allowed 20 In Sum of 76.56 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members Dept 1081 -7 Reimb 4343000 76.56 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 76.56 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund