226326 11/19/2013 CITY OF,CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS
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CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE CHECK AMOUNT: $50.95
?° CARMEL IN 46033 CHECK NUMBER: 226326
CHECK DATE: 11119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 50 . 95 EXTERNAL TRAINING TRA
General Form No.101(1955)
iii NI
TO PA� 00 I I DR.
On Account of Appropriation No. -Z71311� &"2 2— for
READING* NATURE OF BUSINESS AUTO MILES MILEAGE @
Finish TRAVELED PER MILE
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7 a L[
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c. C
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n
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_ 'TOTALS
by fixed mileage or official highway map.
just and correct, that the amount claimed.is legally due, after
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Prescribed by State Board of Accounts
MILEAGE C
D w I'V1
(Governmental Unit)
(Office, Board,Department or Institution)
DATE FROM TO
ODOMETER
20 C)\/, Point Point Start
W J , IC 5Q 1 ` ki — n t—�: V l
Ili i00 ia HCUL- 31 10T iqyt, V . . e -61v-h RA ,IA G W4 i-- LL L4 rL, Q -C.L)w or ►v 31�r-
a 64—1/- C7L - n t: C V, C Stu Ci
I 13D 'Z -OiN ak-- CA C- I 5 .
l �t� CI t-- p
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Wi-i �' . .� �4 \/G C(VtLhav - -C, l C
i; Z C c a - CG ll 641W C4 t7b
l 1 v Civic auk C,:f - r' i �L 5 -3�-a hf _
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= 1 C%�- 1
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Auto license No. U 1'
* SPEEDOMETER READING columns are to be used only when distance between points cannot be determine
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account i
allowing all just credff its, and that no part of the same has been paid.
Date t
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))
11/05/13 $50.95
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
Pam Griffiths
IN SUM OF $
$50.95
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1202 43-430.02 $50.95
I hereby certify that the attached invoice(s), or
I I I
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
Thursday, November 14, 2013
Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i