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HomeMy WebLinkAbout228936 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1 ONE CIVIC SQUARE TIFFANY BUCKINGHAM CHECK AMOUNT: $140.84 CARMEL, INDIANA 46032 5057 E 71ST STREET INDIANAPOLIS IN 46205 CHECK NUMBER: 228936 CHECK DATE: 2/11/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 140 . 84 TRAVEL FEES & EXPENSE ? PRESCRIBCD BY STATE HOARD Or ACCOUNTS JAN 22 201.1 j GENERAL FORL NC.101(1986) MILEAGE CLAIM ._� 1A V14 - (GOVERNMENTAL UNIT) F- l� ON ACCOUNT OF APPROPRIATION NO. ! FOR _ S (O"CE,HOARD,DEPA-RTW3XT OR I13nTunos) §PEEOOMETER ZaD TS2J FROM TO I--- READING + AUTO WLEAGE MILES NATURE OF BUSINESS POINT POINT START FINISH TRAVELED PER MILE -- H C t -::� t N ->L'C_ ----- - --- — r C; % - ail i L ::A CT -17 NN GV, --> i't i —30. ' 61 - -t' C _ --- -- , — 2 -moi M C..0 MCC- 1 CC -'> fvl MCL _ 3 1 CT--'> CCcT -.- 1 M -� l-v v• -� c i � _ 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. I tJ Pursuant to the provisions and penalties of Chapter 155,Acts 1953,.f hereby certify that the foregoing account is just and correct, that the amount claimed is legally due,after allowing all just credits. end that no part of the same has been paid. Date f� r - � J 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. 358408 Buckingham, Tiffany Terms 5057 E 71 st St Indianapolis, IN 46205 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 1/16/14 Reimb. Mileage 11/1/13 - 1/15/14 $ 140.84 Total $ 140.84 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 Voucher No. Warrant No. 358408 Buckingham, Tiffany Allowed 20 5057 E 71 st St Indianapolis, IN 46205 In Sum of$ $ 140.84 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-2 Reimb. 4343000 $ 140.84 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 6-Feb 2014 Signature $ 140.84 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund