HomeMy WebLinkAbout213023 09/25/2012 u�*f CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
` ONE CIVIC SQUARE PAMELA GRIFFITHS CHECK AMOUNT: $131.54
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE
CARMEL IN 46033 CHECK NUMBER: 213023
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 131 . 54 EXTERNAL TRAINING TRA
Claim No. Warrant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
That it is apparently correct
$ incorrect
On Account of Appropriation No. for
Disbursing Officer
Allowed ,20 � � a
ts'
in the sum of$ o
" (D �
to 0 (D
Q
(D (D
5
n
M
N (D ¢
0
(Baud or Commission) O
M
FILED m a �
(7
�y^+
lV
N (D
rah 1
(Official'Ititle)
1
O
Prescribed by State Board of Accounts General For
MILEAGE CLAIM m No.101 (1955)
0M W TO P'1{�YI I'l ��/'/ TH7 DR.
(Governmental Unit)
i
On Account of Appropriation No. , e Z for
(Office,Boar ,Department or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE @
20 Point Point Start Finish
TRAVELED PER MILE
S Z G i Vr G . ig-- OL-Ad 14ga, ZZ' " -33(v/d }G;fZ� Ci Z W v✓�4v'/( '
S z C 2- 3610 -t�- v� L Sca?u4u -6L ' 4.LL r:
(� / w t b�
G , c L V-co c- - r.6 1 /. ,
;- ' U
L �
T-
L / t v, - - 1.22/-
Z C - i / -r L -
5 1 1 ' ' V, -6t" - V �n t Lt
Z ° - 3 : i z
j
S Z I - G� 17 ' 7Yl�i' e. 1't--
5 C 1 ! !
- - r ' 1 C G � L bi91- �s 1 ri
LoAD a LA X 75 c< IaCiVi
2 - - i 6,vil _
-1151 Z C i s `�. �,:j,L rare G -3 W i3 i 5� _
'I Z t Q -t i7r 1 'V t 1�2' L,_ v(. r1
c
-1 i< Z, i' j iii L t - " Had- i' / G l
Auto License No TOTALS 3
* 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 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 qb U 11-2,
Claim No. Warrant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
That it is apparently correct
$ incorrect
On Account of Appropriation No. for
Disbursing Officer
m
Allowed 20 (D o
t3'
in the sum of$ o •
(D
C2 (D
(D
� 6
o
(Dr-
(D
N
(Board
(D P 0
0
d or Commission) _ I ��, OO
cp.
FILED m ¢
rr
� (D
0 (q
(D (D
(D c�
(Official Title) W
Zn
Prescribed by State Board of Accounts General Form No.101 (1955)
MILEAGE CLAIM
-�-� D TO f rr�i�Js DR.
Governmental Unit)
On Account of Appropriation No. �. !�Z- for
(Office,Board,Department or Institution
DATE FROM TO ODOMETER READING` NATURE OF BUSINESS AUTO MIKES MILEAGE @
20 i Point Point Start Finish TRAVELED PER MILE
' C . C,"f '4l t. e")e�3 Coc. -P he. CC- h e� I,
0ey4,14 G/ �G i2 - C(itq ! S
a o70/ CaA l . ,G H-
7- c a cr' / -
e - 3 C4 :7, -
1 - D - 3 q 615 k)13/5 v> A Vi
. . -3
yoo l T- is he - 'K
IdU z ch c - 3 ' r - <;
�i� l' c - G 1 -1 v
✓ Q RL'-C1 Nc. 1670 c ,,,o � a o4r,6 t,5 e
ri1 ', v� - i0 0/ c v -�' 3
n 4-5 - r / 7
,5j 11 Z 1 L- - C1 cc C C ' /6"—Ove a/ ' ry -
L ccC6 - Jj or VL: 161 Vic 5141 _� % lvGC. C� L
✓i � - c ' dZ - C- ic 5ai �- 4!%
y%A
Je G
S Z 1 Vr" ' -Gl- (.t P D 116-1�-C'D L-c-3 L OIST !)i�f'r,' 7
3 Z 1 9�l- 1 ;Vri, L.L I1
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 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
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Pam Griffiths
IN SUM OF $ 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.
$131.54 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Terms
IS Department
Date Due
Invoice Invoice Description Amount
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Date Number (or note attached invoice(s)or bill(s))
1202 I I 43-430.02 ( $131.54 1 hereby certify that the attached invoice(s), or 09/19/12 $131.54
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
Wednesday, September 19, 2012
Director , IS
Title
Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
20
Clerk-Treasurer