223342 08/26/2013 CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1
ONE CIVIC SQUARE CINDY SHEEKS CHECK AMOUNT: $13.56
CARMEL, INDIANA 46032 14382 WHISPER WIND DR
CARMEL IN 46032 CHECK NUMBER: 223342
CHECK DATE: 8/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4343004 13 . 56 TRAVEL PER DIEMS
Sheeks, Cindy L
Subject: Budget meeting with Judy Robertson
Location: Hamilton County
Start: Wed 8/21/2013 1:00 PM
End: Wed 8/21/2013 1:30 PM
Recurrence: (none)
Organizer: Sheeks, Cindy L
i
Preecibed by State Board of Aco t..
Geoecal Form No. 101 (lqt
7
MILEAGE CLAIM
( O E'RheMENTAL UNIT) TO DR.
ON ACCOUNT OF APPROPRIATION N0. v 4FOR---Z� I/ �C
(OFFICE. BOARD, DEPAR -M ENT OR INSTI U7ION)
DATE FROM TO { SPEEDOMETER ) AUTO MILE GE,
19 I READING+
POINT POINT NATURE OF BUSINESS I TR VELED
START FINISH I PER MILE
n /7
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AUTO LICENSE NO. TOTALS
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+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. I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due. after allowing all just creel
and that no part of the same has been paid.
Date
Claim No. Warrant No. I have examined -the witl n.:claim and.hereby
IN FAVOR OF certify as follows:
���✓�y �� That it is in proper form
That it is -duly authenticated as required
Jbylaw.
That it is based upon statutory authority.
That it is apparently . incorrect
On Account of ppropriation No, M -J Ior Disbursing Officer �
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Allowed C o R
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