207753 04/10/2012 ,\4f CITY OF CARMEL, INDIANA VENDOR: 366163 Page 1 of 1
0 ONE CIVIC SQUARE MEGAN BOWKER CHECK AMOUNT: $8.76
C/O ESE CARMEL, INDIANA 46032
CHECK NUMBER: 207753
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 8.76 TRAVEL FEES EXPENSE
PRESCRIBED BY BTAM BOARD OF ACCOUBM
GIN;RAL FORM NO. 101 (19M
MILEAGE CLAI
ro tt✓M 1o�3�-ji
AL.M ON ACCOUNT OF APPROPRIATION NO. FOR NI�CP�t�I
(OFFRX, BOARD WARn OR Diffnrun
FROM TO SPEEDOMETER
RBADINt3
2 NATURE OF BUSINESS TRA IM 5s t
POINT POINT START FINISH PER MILE
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AUTO LICENSE NO. TOTALS l!
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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 1SS, Acts 1893, 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 of the Ba a has been paid.
Date
BY...........
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.
Bowker, Megan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/24/12 Reimb Mileage 3/22/12 8.76
Total 8.76
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.
Bowker, Megan Allowed 20
In Sum of
8.76
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -11 Reimb 4343000 8.76 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
5 -Apr 2012
Signature
8.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I