217784 02/26/2013 a CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $55.46
INDIANAPOLIS IN 46208 CHECK NUMBER: 217784
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 55 .46 TRAVEL FEES & EXPENSE
PRESCRIBED BY STATE BOARD Of ACCOUNTS
�X.,MEu:h �� - MILEAGE CLAIM
GENTAAL TORY NG.101 11986)
, fir. �Rf.�EI n—�(oovrRH>di�,rALl,,,rp ro TRAVEL PER ER DIEM
--�- ..uTroB INSTRUTTOxt nD� ON ACCOUNT OF APPROPRIATION NO.
DA1,TE FROM FOR
TO I SPEEDOM TE £R-
POINT READING
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I START FINISH NATURE OF BUSINESS AUTO
G -� MILEAGE
C-D 1'AAVE ED Q ,155cc r
D G OC -•t, .r -Ip�u_41 PER MILE
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AUTO LICENSE No.
+ SPEEDOMETER READING columns are to be used only When distance between points cannot be determined b
and that n art of th Penalties of Chapter 155,Acts 1953,I hereby cart' y fixed mileage or official highway.ma
a been paid. Tfy that the Lore o' P�
Dd1e _ 4 ing account is just and correct,that the amount claim& �\
? gwly after alio;ving all
just credits..
FEB 7 2013
BY;
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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/31/13 Reimb Mileage 7/3 - 8/28/12 $ 55.46
Mileage 1/7 - 1/31/13
Total $ 55.46
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
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of$
$ 55.46
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 Reimb 4343000 $ 55.46 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
21-Feb 2013
Signature
$ 55.46 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund