HomeMy WebLinkAbout231164 04/08/14 CITY OF CARMEL, INDIANA VENDOR: 364750
® it ONE CIVIC SQUARE JESSICA BALLINGER CHECK AMOUNT: $**.....141.56*CARMEL, INDIANA 46032 10830 TOOLEY CT CHECK NUMBER: 231164
9Mirtin�o APT IF CHECK DATE: 04/08/14
INDIANAPOLIS IN 46234
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 141.56 TRAVEL FEES & EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENEnAL FORM Ito.101(1986)
MILEAGE CLAIM
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ON ACCOUNT OF APPROPRIATION NO. FOR
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+ 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,
end that no part of the
Sthe same has been paid. r�
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.10,(INS)
MILEAGE CLAIM
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V (60VMNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO,— FOR
(OFFICE,BOARD.DEPARTMEKT On INSTITUTION)
DATE FROM TO SPEEDOME
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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 1953,1 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 the same has been paid.
Dateo—
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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.
364750 Ballinger, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/28/14 Reimb Mileage 2/4- 3/28/14 $ 141.56
Total $ 141.56
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.
364750 Ballinger, Jessica Allowed 20
In Sum of$
$ 141.56
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1081-10 Reimb 4343000 $ 141.56 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
3-Apr 2014
Signature
$ 141.56 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund