HomeMy WebLinkAbout233034 05/28/14 y u!.G.,qp
Y qF. CITY OF CARMEL, INDIANA VENDOR: 363065
jg 3i ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $•••••••166.26•
CARMEL, INDIANA 46032 C/O PARKS-ESE CHECK NUMBER: 233034
'4j�eroN�.� CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 166.26 TRAVEL FEES & EXPENSE
' PRESCRIBED 8T STATE BOARD OF ACCOUNTS ! GENFAA,L FORE 110.101 11985)
C MILEAGE CLAIM-:J
tGOVERNHENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD.DERART►D]R OR INSImn10N)
SPEEDOMETER AUTO ltD4E 13E
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Q�I-�-FI- POINT POINT START FINISH TRAVELED
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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 fO ing all just credi
and that no part of the same has been paid.
Date
ti
I �� 13cpIVED
�O
BRAY 2® 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.
363065 Dowell, James Terms
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/9/14 Reimb. Mileage 3/31 - 5/9/14 $ 166.26
Total $ 166.26
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.
363065 Dowell, James I Allowed 20
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
In Sum of$
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$ 166.26
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ON ACCOUNT OF APPROPRIATION FOR
I
108 -ESE
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INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept
# '
1081-3 Reimb. 4343000 $ 166.26 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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22-May 2014
I
Signature
$ 166.26 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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