HomeMy WebLinkAbout230448 03/26/14 CITY OF CARMEL, INDIANA VENDOR: 366239
® ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: $**.....180.32*
a CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 230448
CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 8731272 180.32 TRAVEL FEES & EXPENSE
GENERAL FORM 1/0.101 119861
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
(`l.. (pOVERNMENTAL UNI'nON ACCOUNT OF APPROPRIATION NO. FOR
(017C£, DEPARTMENT OR INSrMrr1ONj -
SPEEDOMETER AUTO MILEAGE
FROM TO READING +
D&T
NATURE OF BUSINESS MILES @7 r�L,a
2.� POINT START FINISH TRAVELED PEA
POINT
UL
--— -
--40
-- — 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.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I 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 art of the same has been paid.
Date ,�J
Uo �.
l - 1� MAR 14 2014
PRESCRIBED By STATE BOARD OF ACCOUNTS GEIIFAAL FORM IIO.101 11986)
MILEAGE CLAIMPao-S rO_ c/ f/
�pOVFANNENTAL UNlT1
"lt ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTMENT OR 1NSTiTUTlON)
,kT,E FROM TO SPEEDOMETER
D1--+- POINT POINT I START�DING F NISH NATURE OF BUSINESS TBAA LES D Q P-UTO �- f
i
Y1
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AUTO LICENSE NO. —� TOTALS 253 1y �
+ 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,I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due,after aliowing all just credits
and that no++part of a ame has been paid.
Date
MAR 14 2014
BY:
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.
366239 Haddock, Monica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/14/14 Reimb Mileage 1/14- 3/14/14 $ 180.32
Total $ 180.32
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
120_
Clerk-Treasurer
Voucher No. Warrant No. i
;i
366239 Haddock, Monica Allowed 20
I
In Sum of$
$ 180.32
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-2 Reimb 4343000 $ 180.32 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
$ 180.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund ,
t