HomeMy WebLinkAbout208021 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1
wF ONE CIVIC SQUARE JESSICA RICHARDS CHECK AMOUNT: $104.51
?o CARMEL, INDIANA 46032 1832 N GLENDORA DR
INDPLS IN 46214 CHECK NUMBER: 208021
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 104.51 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOR. I,.. 181 (1986)
MILEAGE CL qACCO
(GOVERN MENTAL UNIT) OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARniEXT OR INSTITUTION)
SPEEDOMETER MILEAG
DATE FROM To READING AUTO a .7 dam r
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
t5 M 3
i
C
YL UJ Lo
rZ 10hWul YwNr
12 r1-
1
v to 11 r K7
2 t'
►t 0
1 C
1
AUTO LICENSE NO. TOTALS �p j
c7�1 O
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 ed is legaa due, abo all_just its
and that no art of the same has been paid.
Date 2 O L
I D Q-9
MAR 2 6 2012
Jay
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENFAAL FOAM 110. 101 (1986)
MILEAGE CLAI t C�► u" C/`
TO
(GOVERNMENTAL UNIT)
ON RCCO OF APPROPRIATION NO. FOR
(OHICE, BOARD, DEPARTMFNr OR INSTITUTION)
DATE FROM TO I SPEEDOMETER AUTO AMILES
NATURE OF BUSINES6
POINT POINT START FINISH TRAVELED PER MILE
1 t 5
Cl 3 M�
"M
�p
1 tD
Mi
3.
c
i FD c r nm•u�
i 1 F C to av� I 9 5
3,
rin�>sr
AUTO LICENSE NO. TOTALS ou,6
r7
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 claim is ally due, after a 'ow' all just credits
and that no p rt of 2e same has been paid.
Date
o il,
O
MAR 2 6 2012
B Y
!A!!A!!A!1llttlt
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.
364657 Richards, Jessica Terms
Invoice I gte tached nvoice(s) Description
Date N (or no at i or bill(s)) PO Amount 104.51
3/15/12 Mileage 11/22/11 3/15/12
Total 104.51
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.
364657 Richards, Jessica Allowed 20
In Sum of
104.51
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 -4 Reimb 4343000 104.51 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
104.51 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund