HomeMy WebLinkAbout234527 07/08/14 +i 4,p ! CITY OF CARMEL, INDIANA VENDOR: 366663
j 3'r ONE CIVIC SQUARE AMANDA GILLIM CHECK AMOUNT: $*******137.15*
��; CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 234527
�M[TON�` CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 109.93 TRAVEL FEES & EXPENSE
1082 4343000 REIMB 27.22 TRAVEL FEES & EXPENSE
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ON ACCOUNT OF APPROPRIATION No. FOR
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TOTALS
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+ SPEEDOMETER READING columns are to be used only when distance between points cannol be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 158,Acts 1953,I hereby oeTtify that the foregoiug account is just and correct,that the amo ela d is due or a st credits.,
end that n P t of tt a same has been paid.
Date
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PBFSCRISED BY STATE BOARD OF ACCOUNTS 6 {MAL FOAM 110 101 119M
MILEAGE CLAIM
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to lite provisions and penalties of Chapter 155,Acts 1053,I hereby certify that the foregoing account is just and correct,that the amount cla od fs 1 a y due,after alio vfng Ii 1 st '1S.-
end
:end that no p rt of a sa a has b
� / � q �H�een 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.
366663 Gillim, Amanda Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/6/14 Reimb Mileage 3/3-6/6/14 $ 109.93
6/30/14 Reimb Mileage 6/9-6/30/14 $ 27.22
Total $ 137.15
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
, 20_
Clerk-Treasurer
I
i
Voucher No. Warrant No.
366663 Gillim,Amanda Allowed 20
In Sum of$
$ 137.15
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
130#or INVOICE NO. ACCT#f'rITLE AMOUNT Board Members
Dept#
1081-5 Reimb 4343000 $ 109.93 1 hereby certify that the attached invoice(s), or
1082-12 Reimb 4343000 $ 27.22 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
ii
_3 I-Jul 2014
1
Signature
$ 137.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund