HomeMy WebLinkAbout232524 05/13/14 'c,g4f• CITY OF CARMEL, INDIANA VENDOR: 366239
ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: $*******133.28*
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i•. ,_?: CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER. 232524
'M.,T�,—�' CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 133.28 TRAVEL FEES & EXPENSE
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5)23
GENERAL FORM NO.101(1986)
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM �a %
--�- -nZnVMNWENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
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FROM TO SPEEDOMETER AUTO MILEAGE READING + NATURE OF BUSINESS MILES ESE O r
POINT POINT START FINISH TRAVELED PER MILE
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.441 71
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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,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all just credits.
end thatpaar7t of the same has been paid.
Date —l��LL/lLI
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i tt
� -- Lt MAY 0 2014
ACCOUNTS PAYABLE VOUCHER
CITY OFCARMEL
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
5/2/14 Reimb Mileage 3/18- 5/2/14 $ 133.28
Total $ 133.28
I hereby certify,that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with fC 5-11-10-1.6
, 20—
Clerk-Treasurer
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Voucher No. Warrant No.
366239 Haddock, Monica Allowed 20
In Sum of$
$ 133.28 I��!
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ON ACCOUNT OF APPROPRIATION FOR
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108 -ESE
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PO#or INVOICE NO. ACCT#/TITL AMOUNT i Board Members
Dept#
1081-2 Reimb 4343000 $ 133.28 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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l 8-May 2014
fi
Signature
$ 133.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund