173032 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 358684 Page 1 of 9
ONE CIVIC SQUARE SHANNON SHERMAN
CARMEL, INDIANA 46032 10337 W TORONTO WAY CHECK AMOUNT: $125.40
TELLESON AZ 85353 CHECK NUMBER: 173032
CHECK DATE: 5/2712009
DEPARTME AC COUNT PO NUMBER INVOIC NUMBER A MOUNT D ESCRIPTIO N
1046 4343004 REIMS 125.40 'TRAVEL PER DIEMS
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENFAALFORld NG. 1 {1966)
MILERGE CL
TO -51
(GOVERNMENTAL UNITI
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF- BOARD, DEPAATWZ T OR INSTIMION)
SPEEDOMETER AUTO MILEA�CE
DAT� FROM TO ftEADING NATURE OF BUSINESS MILES 6. a J�7
z� POINT POINT START FINISH TRAVELED PER MILE
ZZI /17G' ^fef" •cJ.yrcvti_.. C 1 *Jr'
.4 1 f G
Z. I .r
72 2
T 1 9 1 9-57 1 b
C
411 11j (SAS. 4t i
rM
Y An
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. r r�
Pursuant to the provisions and penalties Of Chapter 155, Acts 1953, I hereby certify that the foregoing account i9 just and correct, that the amount claimed is legally du�aitZr aliowing all iust credits,
and that n-o p t of he same has been paid.
Date 7f` y r
71 fi3:
MAY 0 7 2009 f
��Y
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.
358684 Sherman, Shannon Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4129109 Reimb. Mileage 313109 4129109 125.40
Total 125.40
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
t
Voucher No. Warrant No.
358684 Sherman, Shannon Allowed 20
In Sum of
125.40
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITI.E AMOUNT Board Members
Dept
1046 Reimb. 4343004 125.40 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
21 -May 2009
Signature
125.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund