210733 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 008840 Page 1 of 1
ONE CIVIC SQUARE BILL AKERS
*. 0 CHECK AMOUNT: $11.10
CARMEL, INDIANA 46032 C/0 COMMUNICATIONS CENTER
C/O COMMUNICATIONS C CHECK NUMBER: 210733
CHECK DATE: 7117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 11 . 10 OTHER CONT SERVICES
Prescribed by State Beard of Accounts ;
p p®p General Form No.iC;(1955
MILEAGE CLAIM
I
TO DR.
(Governmental Unit} //
On Account of Appropriation No. for
O Ice,Board,Department or Instiiu;ionj
DATE FROM TO �--
ODOMETER:READING' NATURE OF[BUSINESS �AUTO MILES MILEAGE C
201-4 Point Point Start Finish TRAVELED PER MILE
' C JlJ II II VSO
C
i
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t. -
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F—
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I i I I
Auto License No. t TOTALS H IZO
SPEEDOMETER READING columns are to be used only when distance between points cannot be determinE; by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
Date
Prescribed 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/12/12 $11.10
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
Bill Akers
IN SUM OF $
13967 Wakefield Place
Fishers, In 46038
$11.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I I 43-509.00 I $11.10 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
Thursday, July 12, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund