HomeMy WebLinkAbout168600 02/04/2009 "ME CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $133.10
CARMEL. INDIANA 46032 C10 ENG�NEER�NG
C/O ENGINEERING CHECK NUMBER: 168600
CHECK DATE: 2!4!2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
2200 4343002 133.10 EXTERNAL TRAINING TRA
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MILEAGE CLAIM
(GOVERNMENT UNIT) TO �1(� Q 4� DR.
ON ACCOUNT OF APPROPRIATION NO. FO
(OFFICE. BOARD. BOARD. DEPAR MXNT OR INSTITUTION)
DATE FROM T SPEEDOMETER I AUTO M
READING+
MILES
1 POINT POINT START FINISY N ATURE OF BUSINESS I TRAVELED PER MILE
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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 account is just and correct. that the amount claimed is legally due. after allowing all just cTedi'
and that no part of the same has been paid
Date Z 1' 2 1� t
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r
:-aim No- Warrant No. f have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is In proper •form
That it is -duly authenticated as required
O by law. i
That it is based upon statutory authority.
That it is apparently Incorrect
On Account of Appropriation No for is urB icer
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in the sum of S
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A.L. OOYCC CO.. AONCIC. IND. 07))7 0
Pres�`Tibed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Mike McBride
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
nIa nla Mileage January $133.10
Total
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.
ALLOWED 20
Mike McRride IN SUM OF
Engineering Department
$133.10
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 22004343002 $133.10 bill(s) is (are) true and correct and that the
n/a materials or services itemized thereon for
which charge is made were ordered and
received except
Z Z o 20
Sig ature
E
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund