224011 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1
ONE CIVIC SQUARE BARBARA LAMB
a i CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $16.04
CARMEL IN 46032 CHECK NUMBER: 224011
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4343002 16 . 04 EXTERNAL TRAINING TRA
Prescribed by State Board of Accounts General Form No.101(1955)
MILEAGE CLAIM
t ` o TO o DR.
(Governmental Unit)
1-t�vv�•� �-So��c�C S On Account of Appropriation No. for
(Office,Boar ,Department or Institution
DATE FROM TO
ODOMETER READING" NATURE OF BUSINESS
20 i3 Point Point t Start Finish TRAOVELED MILEAGE PER MILE
a >✓ y�_ 8
8 a- T 1 , l o"7
WT 1 u J o �c�. rya 3 °t
4.9
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
Clcam No. Warrant No. I have excunined 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
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in the sum of$ _
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(Board or Commission) ( 00
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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))
09/09/13 09.09.13 mileage 8/27/13-8/29/13 $16.04
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lamb, Barb
IN SUM OF $
$16.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 09.09.13 I 43-430.02 I $16.04 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
Monday, Septembers 09, 2013
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund