HomeMy WebLinkAbout236764 9 /10/2014 CITY OF CARMEL, INDIANA VENDOR: 363096
ONE CIVIC SQUARE MICK BARTON CHECK AMOUNT: $**.....116.48*
?� CARMEL, INDIANA 46032 CHECK NUMBER: 236764
CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 REIMB 116.48 TRAVEL FEES & EXPENSE
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RPESCPIBED BY STATE HOARD OF ACCOUNTS t '
GENFBAL FORM 110.101(1906)
MILEAGE CLAIM
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ON
O ON ACCOUNT OF APPROPRIATION NO. FOR
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DATE -
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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 uccount.is just and correct,that the amount claimed is legally due,afte liowin all just credits
and that no part of the same has been paid. .�
Datef �� /! OIL,,j- N3g3j04 �
EP 2 2014
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ff Y
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.
363096 Barton, Mick Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/26/14 ReimB Mileage 5/15- 8/25/14 $ 116.48
Total $ 116.48
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
Voucher No. Warrant No.
363096 Barton, Mick Allowed 20
In Sum of$
$ 116.48
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#orBoard Members
INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1082-11 ReimB 4343000 $ 116.48 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
4-Sep 2014
Signature
$ 116.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund