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215645 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1 ONE CIVIC SQUARE PAMELA GRIFFITHS CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE CHECK AMOUNT: $164.84 CARMEL IN 46033 CHECK NUMBER: 215645 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4343002 164 . 84 EXTERNAL TRAINING TRA ODOMETER •D • • /��E�I � __ �� • .. CMG ��, � ' '. I��I�.T�"lJ�i��F1s.�1'1� I�'I� 11�1:1 Mo- M M I��I�Gi►1�. .r Immoyarma mill J ME ' �I/ I--I ' . :. •►1: 1L ' :fir iG�/►fr�I - • ' Jai ,.t. • 'g ISM IIM ism wo ill VA, 2. r3, ..��I��I ��.,..,� • .�, , . loll i Clcum No. Warrant No. I have examined the within cicdm 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 (D � , -a o C iri the sum of$ Err (D n () (D CD ¢� N r. � (D mP (D N 0 (.D a (Board or Conunission) I : O FILED 5— �+ (D n (D O CL (� bi (QD (D (D cwD (D (Official Title) O •�• ' . NATURE OF • Mot=I .�1 A / / , � , ��L11',>I��I G i. . L ► �.[ , %t/ 1.[ �11L.,�.� l IlrG��l� .�UNC O 1/.t.iMPI 2.4,0 W,A ' . ` ` �I_-I� 1� Y �• ' �� I/[� I�I- nFA all Tom I ire I ...��,�% ► a/ I-SI ji UUPPTA I©I- �1©I 1 ] MAN= .�,e. _ � _ i 1 I��I 6 •,../ IWAM I�PS AT, MINOR ill!': • .�� I��I 1. 't�/« • �[L�.,, 16�1� �t�I•/ � �. I h�1N1� - L' •' ...:L_ L/ • � f�-I -JR.111 � ,� � i 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 cQ •d - m Allowed 20 CD p in the sum of$ o` o C. � Er P (D . (D ., (Baud or Commission) I :� OO FILED. R (D C1 (D CD - a ¢ n (D m (Official Title) O VOUCHER NO. WARRANT NO. ALLOWED 20 Pam Griffiths IN SUM OF $ $164.84 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1202 43-430.02 $164.84 I 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 Monday, December 17, 2012 Director , IS Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 12/17112 $164.84 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