213437 10/09/2012 .F CITY OF CARMEL, INDIANA VENDOR: 085325 Page 1 of 1
Q � ONE CIVIC SQUARE STEVE ENGELKING CHECK AMOUNT: $38.86
CARMEL, INDIANA 46032 6221 WINFORD DR
INDIANAPOLIS IN 46236 CHECK NUMBER: 213437
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4343002 09 . 27 . 12 38 . 86 EXTERNAL TRAINING TRA
Prescribed by State Board of Accounts
MILEAGE
ez
(Governmental Unit)
(Office, Board, Department or Institution)
DATE FROM TO ODOMETE
20 / L Point Point Start
l01 L G 1' �2. J-�S�l iF r�Si �c s�T�►si Lg
Auto License No.
" SPEEDOMETER READING columns are to be used only when distance between points cannot be determin(
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account
allowing all j t credits, and that no part of the same has been paid.
Date ;?-7 12—
pp pp General Form No.101 (1955)
I�
✓ AIM
TO DR.
On Account of Appropriation No. �zG��� for
READING' NATURE OF BUSINESS AUTO MILES MILEAGE @
Finish TRAVELED PER MILE
/ /S' i2e ruruu :Z � S'
0
n
TOTALS
J by fixed mileage or official highway map.
s just and correct, that the amount claimed is legally due, after
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))
09/27/12 09.27.12 mileage 09.26.12 $38.86
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
Engelking, Steve
IN SUM OF $
$38.86
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 09.27.12 $38.86
I hereby certify that the attached invoice(s), or
4 - .3C.'U _
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
Monday, October 08, 2012
r
Director, dministrati
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund