HomeMy WebLinkAbout236926 09/10/14 CITY OF CARMEL, INDIANA VENDOR: 368625
® ONE CIVIC SQUARE STEPHANIE LUKAS CHECK AMOUNT: $********20.72*
9 `TONS j�� CARMEL, INDIANA 46032 C/O ESE CHECK CHECK NUMBER:DATE: 236 0/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 20.72 TRAVEL FEES & EXPENSE
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AUG 2 5 2014
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PCAIlED BT STATE BOA"Oi ACCOUNTS J-.Y
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ArS
MILEAGE CLAIM
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IGOVDIAPPROPRIATION
NMENTA6 tDfM ON ACAAAACJJJJOUNT[O�F APPROIIPRIATION NO. F""Ott`R ll
torat CE.HOARD.DWARTbwa OR msmunoN)
SPEEDOMETER AUTO WLGE
DATE FROM TO E READING E NATURE OF BUSINESS
MILES
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Qa PO POINT START FINISH TRAVELED PER��
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/ —to toL4i )• b
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AUTO ttCENSE NO.
+ 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,of r lfowing*Iust credits
end that no pari of the same has been paid.
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Date VON- V N,!./t.--U�J
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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.
Lukas, Stephanie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/14/14 Reimb Mileage 8/14/14 $ 20.72
Total $ 20.72
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Lukas, Stephanie Allowed 20
In Sum of$
$ 20.72
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE i
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-9 Reimb 4343000 $ 20.72 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
r
Signature
$ 20.72 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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