HomeMy WebLinkAbout230185 03/12/14 9,�' ��p" CITY OF CARMEL, INDIANA VENDOR: 366657
® it ONE CIVIC SQUARE HOPE WOOSLEY CHECK AMOUNT: $********43.84*
CHECK
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 230185
Masa CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 43.84 TRAVEL FEES & EXPENSE
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PRESCRIBED BY STATE ROARD OF ACCOUNTS ' ' l GENERAL FORW IIO.101 0W$)
MILEAGE CL IM
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(GOVEAHMENTAL UNI1I C N ACCOU 4T OF APPROPRIATION NO. FOR
tOi�1CP,BOARD,oE}AA71fEHT ON INSTITUIlON)
FROM TO I eEADO EER AUTO MILEAGE
DATE MILES a F
2a, POINT POINT START FINISH NATURE OF BUSINESS PER MILE
TRAVELED FLED
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AUTO LICENSE NO,
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determLnE d by fix d fleage or official highway.map. VI
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby cerffty that the foregoing ace(unt is ju, a d correct,that the amount claimed is eg ly due,a allow' all j t cr it
and that no pa of the s mahas been paid. '
Date
FEB 2 7 2`014
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.
366657 Woolsey, Hope Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/21/14 Reimb Mileage 10/15/13 - 2/21/14 $ 43.84
Total $ 43.84
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.
366657 Woolsey, Hope Allowed 20
jln Sum of$
$ 43.84
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 43.84 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-Mar 2014
Signature
$ 43.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund