HomeMy WebLinkAbout233535 06/11/14 ! CITY OF CARMEL, INDIANA VENDOR: 366990
.�; ® �I• ONE CIVIC SQUARE JOSH LANE
CHECK AMOUNT: $********45.19*
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 233535
°'%iror'co CHECK DATE: 06/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 45.19 TRAVEL FEES & EXPENSE
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JUN — 3 2014
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�j MILEAGE CLAIM
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as are to be d only when distance between pointe cannot be determineiid by fixed mileage or official highway map.
Paaoant lathe provisions and penalties of Chapter,155,Acts 1993,I hereby certify that the foregoing acomat is lmt sad correct,tbet the amc=t claimed In 1 aUowinq all jut J
end that no part of the same has been paid.
Date
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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.
366990 Lane, Josh Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/29/14 Reimb Mileage 4/25- 5/29/14 $ 45.19
Total $ 45.19
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
Z0_
Clerk-Treasurer
i
Voucher No. Warrant No.
366990 Lane, Josh Allowed 20
In Sum of$
$ 45.19 i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 Reimb 4343000 $ 45.19 ii 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
5-Jun 2014
i
Signature
$ 45.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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