HomeMy WebLinkAbout177880 09/29/2009 a CITY OF CARMEL, INDIANA VENDOR: 363393 Page 1 of 1
ONE CIVIC SQUARE ZACKERY TYLER CHECK AMOUNT: $2.75
CARMEL, INDIANA 46032 214 E PATTERSON ST
LAKEVILLE IN 46536 CHECK NUMBER: 177880
CHECK DATE: 9/2912009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343004 2.75 TRAVEL PER DIEMS
i
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENVIRL FORW NO.
MILEAGE �::LAIM �7� (C j y
TO r Q.
(GOVERNMENTAL UNI1T
ON ACCOUNT OF APPROPRIATION NO_ FOR
(OFFICE, BOARD. DBPARTW3VfT OA 1NSrMYrION)
TO J SP &FDOMETER AUTO MILEAGE
DATE FROM I Rf-4DWG
POINT I POINT START FINTSH NATURE OF BUSINESS TRAVELED 0
PEA MILE
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.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing azcount is just and correct, that the amount claimed is legally due after allowing all ju credits
end that no paqt of the same has been paid.
Date �o
n�QO�
q'
i�.
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.
Tyler, Zak Terms
ti
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8124109 Reimb. Mileage 8124109 2.75
Total 2.75
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. Warrant No.
Tyler, Zak Allowed 20
In Sum of
2.75
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 2.75 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
24 -Sep 2009
Signature
2.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund