HomeMy WebLinkAbout232474 05/13/14 4%.�'p''"! CITY OF CARMEL, INDIANA VENDOR: 367093
ONE CIVIC SQUARE ALYSSA CLARK
CHECKAMOUNT: $********55.44*
9� ,?� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 232474
k''�;oN�• CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 55.44 TRAVEL FEES & EXPENSE
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PRCSCPIBCD HY STATE HOARD OF ACCOUNTS I
GENFAAL-FORM 110.101 119867
MILEAGE CL IM a, Cj I Q,r4
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MVERNNENTAL1)NM ACCOU T F ArOPIRUIATION NO. FOR
1OMCE,ROAM,DETAATMAfT OR INSnrUN08) I
D A•�r FROM TO HE�A�IO ETER I AUTO AGE
I I NATURE OF BUSINESS WLES ® D� f
POINT POINT START FINISH ; TRAVELED PER MILE
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AUTO LICENSE NO. I TOTALS S
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot be daterminc d by fix d i ❑etjge or official highway.map.
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Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby cart*that the foregoing accc unt is in aid correct,That the amount claimed Is-legally due,after allowing all just credits,
and that, o pari o1J e�same has been paid.
Date
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�r9 Qhfr'L APR 2 2 2014
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.
367093 Clark, Alyssa Terms
Invoice Invoice Description
Date Number (or note.attached invoice(s)or bill(s)) PO# Amount
4/14/14 Reimb Mileage 2/18- 4/8/14 $ 55.44
Total $ 55.44
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.
367093 Clark, Alyssa Allowed 20
In Sum of$
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$ 55.44
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 55.44 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
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8-May 2014
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Signature
$ 55.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund