HomeMy WebLinkAbout234100 6 /25/2014 +p�.C�Nb
�� CITY OF CARMEL, INDIANA VENDOR: 368106
ONE CIVIC SQUARE JACKIE REDMOND CHECK AMOUNT: $*********8.40*
•i a� CARMEL, INDIANA 46032 CHECK NUMBER: 234100
°�.„�or,-�• CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 3132 8.40 TRAVEL FEES & EXPENSE
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PRESCRIBED By STATE BOARD OF ACCOUNTS
GENERAL FOAM NO.101(1984)
rMILEAGE CLAIM
4— e-eL TO
(GOVERNMENTAL DNIT) e�5� I
�j ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARn=fr OR IN ON)
SPEEDOMETER
DA FROM TO READING { NATURE OF BUSINESS AMILESUTO MILEAGE
POINT START FINISH TRAVELED ® PER MILE C
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AUTO LICENSE NO. TOTALS l tl
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. LlPursuant 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;
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end that no part of the same has been paid.
Date
4
J 5 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.
368106 Redmond, Jackie Terms
209 Surrey Hill Ct
Carmel, IN 46032
Invoice Invoice Description
Date Number (or.note attached invoice(s)or bill(s)) PO# Amount
5/30/14 Reimb Mileage 5/6- 5/28/14 $ 8.40
Total $ 8.40
I 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
X20_
Clerk-Treasurer
,r
Voucher No. Warrant No.
368106 Redmond, Jackie l Allowed 20
209 Surrey Hill Ct
Carmel, IN 46032
In Sum of$
$ 8.40
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. kCCT#/-rITLE AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 8.40 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
19-Jun 2014
Signature
$ 8.40 Accounts Payable Coordinator
Cost distribution ledger classification if - - Title _-
claim paid motor vehicle highway fund
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