211826 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 366456 Page 1 of 1
ONE CIVIC SQUARE JANET KARSAS
' CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $13.26
CHECK NUMBER: 211826
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 REIMB 13 . 26 TRAVEL FEES & EXPENSE
PIRBCMM Rr R M BOARD OF ACOOWU cow"FMW a0.!W am
MILEAGE CLAIM
TO
tDOWWWWAL ON ACCOUNT OF APP"MATION no FOR
DAIS FROM TO MMING � AUTO c
l-- POINT POINT sruT FJai181[ NA20AB OF eUSiNS38 =� ®�J�
!!Ri
cs2 Z
i n'IV"YI
AUTO LiaMBS NO. TOTALS ��.,� -2_G,v V
+ SPEEDOMETER READING columns am to be used only when distance between points cannot be determined by fixed mileage of official highway map.
Pursuant to the provialons and penalties of Chapter 1SS,Acts 1893,I hereby certify that the foregoing account is lust and correct.that the amount claimed is legally due,after allowing all lust credits
end that no part of the same has been paid.
Date
AUG,0 7 2012
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.
361801 Karsas, Janet Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7131112 Reimb. Milleage 7/3 - 7/31/12 $ 13.26
Total $ 13.26
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.
361801 Karsas, Janet Allowed 20
In Sum of$
$ 13.26
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-1 Reimb. 4343000 $ 13.26 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
9-Aug 2012
Signature
$ 13.26_ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund