HomeMy WebLinkAbout236574 08/27/14 o,__c�q,, CITY OF CARMEL, INDIANA VENDOR: 366657
ONE CIVIC SQUARE HOPE WOOSLEY CHECK AMOUNT: $********13.44*
/+� CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 236574
a„TON�• CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 13.44 TRAVEL FEES & EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL-FORM 110.IBE tl"67
MILEAGE CL IM
T
(GOVERNMENTAL UNM
ACCtTFROPRIATION NO. FOR
(OFnCE,BOARD,DEPARTMENT OR INS=11011) i
SPEEDO ETER
D T FROM I, TO READI I � AUTO 11ILEAGE
Za IL/ ' I I MATURE OF BUSINESS MILES @ 4
-}-i=- POINT POINT START FINISIT THA'VELED !
PER MILE
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rna
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AUTO LICENSE NO. i TOTALS !
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be delermin d by fix d I Ale4ge or o�fieial highway.map.
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Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing acc unt is ju ai d correct,that the amount claimed is-legally due,after allowing all just credits
and that no part of the same has been paid.
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Dale
f.
AUG -8 2014
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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.
366657 Woolsey, Hope Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/8/14 Reimb Mileage 3/18- 5/7/14 $ 13.44
Total $ 13.44
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
120
Clerk-Treasurer
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Voucher No. Warrant No. I
366657 Woolsey, Hope Allowed 20
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In Sum of$
$ 13.44
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 13.44 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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21-Aug 2014
Signature
$ 13.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund