HomeMy WebLinkAbout236857 09/10/14 %' ��p"f� . CITY OF CARMEL, INDIANA VENDOR: 366239
® ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: S"""""""113.68"
i` CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 236857
*,tre„�` CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 113.68 TRAVEL FEES & EXPENSE
AUG 2 J 2014
BY:
GENT.PAL FOAM HG.101 11 9 8 61
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
S(GOVERNMENTAL UNn1 ON ACCOUNT OF APPROPRIATION NO_ FOR
C
(OFFICE,BOARD.DEPARTMENT OR INSTMTTION)
SPEEDOMETER AUTO 24II.E E
FROM TO READING + MILES Q �7
DATE NATURE OF BUSINESS TRAVELED
2 POINT POINT START FINISH PER MILE
-- 2
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AUTO LICENSE NO. TOTALS ����pp���L0/�
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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 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
and thato part of the
same has been paid.
Date 1
c
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.
366239 Haddock, Monica Terms
;Invoice Invoice Descriptionate Number (or note attached invoice(s)or bill(s)) PO# Amount
8/14 Reimb Mileage 5/6- 8/18/14 $ 113.68
F$ 113.68
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.
366239 Haddock, Monica Allowed 20
t
In Sum of$
$ 113.68
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1081-2 Reimb 4343000 $ 113.68 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
&9A:J�-
Signature
$ 113.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund