HomeMy WebLinkAbout233562 06/11/14 �.s+A,, CITY OF CARMEL, INDIANA VENDOR: 368279
j; ONE CIVIC SQUARE REBECCA PALMER CHECK AMOUNT: $******..27.00'
s. ? CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 233562
9'''/*`ori�°' CHECK DATE: 06/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 27.00 TRAVEL FEES & EXPENSE
L7-P � 20 i=�PRESCRIBED BY STATEBOARDOT ACCOUN75
ENERAL'FOAMNR-10)-4 --
MILEAGE CLAIM' Q
( t, el TO CJ
EANMENIAL UNITS
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,VOARD.DEPARTMENT OR INST.TIUIION)
DAT FROM TO SPEEDOMETER
READING + AUTO MILEAGE
POINT
NATURE OF BUSINESS 1 b LSA toy '%_ f
POINT START FINISH '%.
24F U
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Z-7
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 also just credits
end that art of the.same has been paid.
Date
Ep F-
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.
Palmer, Rebecca Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/29/14 Reimb Mileage 9/24- 12/27/13 $ 27.00
Total $ 27.00
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
i
Voucher No. Warrant No.
Palmer, Rebecca Allowed 20
In Sum of$
$ 27.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
De t# INVOICE NO. CCT#/TITL AMOUNT
P
1081-10 Reimb 4343000 $ 27.00 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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5-Jun 2014
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Signature
$ 27.00 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund 1
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