208054 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN STORMS CHECK AMOUNT: $70.78
CARMEL, INDIANA 46032
CHECK NUMBER: 208054
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 70.78 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS 00 I s L
GENERAL iOR1111G. IC`I (1996)
MILEAGE CLAIM
TO
(OOVEANl1ENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(pfi'ICE, BOARD, DEPARTMENT OR 1XSTITUTION)
SPEEDOMETER AUTO MIL
DA FROM TO I READING NATURE OF BUSINESS MILES Q
POINT POINT START FINISH TRAVELED PER MILE
ft t
7 5 `S
7
I(Q 3
cC` o d 7,
Q
sr1 O S
n
j vs
n o '3 a
I
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, 1 hereby certify that the Ioregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
end that no part of the same has been paid.
Date
61''- V
MAR 0 201
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.
363382 Storms, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/28/12 Reimb Mileage 3/1 3/28/12 70.78
Total 70.78
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.
363382 Storms, Meagan Allowed 20
In Sum of
70.78
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 70.78 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
70.78 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund