230440 03/26/14 V C,q
CITY OF CARMEL, INDIANA VENDOR: 367774
ONE CIVIC SQUARE CARA GRAY CHECK AMOUNT: $********63.50*
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 230440
°M,roN.�o CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 63.50 TRAVEL FEES & EXPENSE
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MILEAGE CLAIM 1LnIS in"Q'
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AUTO UCSNSB NO. TOTALS I10j p J e J`0
SPMOMr'M READING m4umns are to he used only when distance between pointe cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1993,I 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
rlo�
L
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.
367774 Gray, Cara Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/25/14 Reimb Mileage 1/21 - 2/25/14 $ 63.50
Total $ 63.50
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.
367774 Gray, Cara Allowed 20
In Sum of$
$ 63.50
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 63.50 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
20-Mar 2014
Signature
$ 63.50 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I