HomeMy WebLinkAbout210456 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 366334 Page 1 of 1
ONE CIVIC SQUARE NATALIE MEENGS CHECK AMOUNT: $34.97
CARMEL, INDIANA 46032 C/O PARKS
CHECK NUMBER: 210456
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 34.97 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO_ N(kln JjL A
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION}
DATE
FROM TO SPEEDOMETER
READING AUTO MILEAG
2 I
NATURE OF BUSINESS MILES p Sc c
POINT POINT START FINISH TRAVELED PER MILE
S 4 o Le, R1
S e I
1
tyu
FA ippory—
L
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 d e, aft r aliowing all just credits
and that no ga of the ame has been paid.
Date
JUN 9
Lip 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.
Meengs, Natalie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/5/12 6/5 Mileage 5/30 6/14/12 34.97
Total 34.97
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.
Meengs, Natalie Allowed 20
In Sum of
34.97
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 6/5 4343000 34.97 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
28 -Jun 2012
P
Signature
34.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund