HomeMy WebLinkAbout231638 4 /23/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 368092
ONE CIVIC SQUARE TORRE DURRETT CHECK AMOUNT: $********94.08*CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 231638
CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 94.08 TRAVEL FEES & EXPENSE
GENEBAL FORM 110.10)(1986)
PRESCRIBED BY STATE BOARD OF ACCCLUNTs
MILEAGE CLAIM
TO
( ERN 'A FOR
v l ON ACCOUNT OF APPROPRIATION NO. --tom
(OF-,ICE,BOARD,DEPAATI(Etfi OR INSrrrlfrlON) V 1
- SPEEDOMETER AUTO MILEAGE
DA FROM
FROM TO READING + MILES �5 t C
ZO 1_` POINT POINT START FINISH NATURE OF BUSINESS TRAVELED PER MILE
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YT)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 fust and correct, that the-amount claimed is legally due,after ali�all just-credits.
and that no art Qf the same has been paid
Date —
(- q
APR 1
I � 5 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.
368092 Durrett, Torre Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/14/14 Reimb Mileage 3/4 - 4/14/14 $ 94.08
Total $ 94.08
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.
368092 Durrett, Torre Allowed 20
In Sum of$
$ 94.08
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-3 Reimb 4343000 $ 94.08 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
17-Apr 2014
Signature
$ 94.08 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund