HomeMy WebLinkAbout236860 9 /10/2014 CITY OF CARMEL, INDIANA VENDOR: 358411
ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: S""**""155.68'
CARMEL, INDIANA 46032
634 NORTHVIEW AVENUE CHECK NUMBER: 236860
INDIANAPOLIS IN 46220 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 155.68 TRAVEL FEES & EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO.101(1986)
MILEAGE CLAIM. e—
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(GOVERNMENTAL 1JN1T)
ON ACCOUNT OF APPROPRIATION NO. FOR
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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 1953,1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due,after aliowin all just dit
end that no part of Jhe same h S been paid.
Date
Oq 04 L��
— 2- 2014
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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
;Invoice Invoice DescriptionDate Number (or note attached invoice(s) or bill(s)) PO# Amount
25/14 Reimb. Mileage 6/5 - 7/28/14 $ 155.68
Total $ 155.68
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
x
Voucher No. Warrant No.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of$
$ 155.68
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-10 Reimb. 4343000 $ 155.68 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
Signature
$ 155.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund