HomeMy WebLinkAbout236996 09/10/14 d.C�q
a`,% i`•. CITY OF CARMEL, INDIANA VENDOR: 368622
ONE CIVIC SQUARE MORSAL RASOULI CHECK AMOUNT: $********18.48*
sy\ r`; CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 236996
a„TON-� . CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 18.48 TRAVEL FEES & EXPENSE
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AUG 2 5 2014
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PRUSC OED BY STATE BOARD OF ACCOUNTS -
----- GENERAL FOAM HG 101119M
MILEAGE CLAIM n�4�� �/�(�a U
DINMENIAL V771'n 1-► �`) "`
ON ACCOUNT OF APPROPRIATION NO. FOR
I0Ti7CE,BOARD.DETAR7MNr OA INSrm;r 4th
DATE FROM TO TPE,EDOMETER
READING + AUTO NILEA6E
POINTPOINT STAR? FINISH NATURE OF BUSINESS MILTRAVES ®PER MILE c
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AUTO LICENSE NO. 357 Q _ _ TOTALS 1 t.pq
10.1
+ 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 clatmed is legally due tier alloiving all)u5t credits.
end that no part of the same has been paid.
Date
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be property 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.
Rasouli, Morsal Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/4/14 Reimb Mileage 8/4/14 $ 18.48
Total $ 18.48
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
I
Voucher No. Warrant No. .
I
Rasouli, Morsal f Allowed 20
r.
In Sum of$
$ 18.48
ON ACCOUNT OF APPROPRIATION FOR I
1
108 -ESE
'I
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1081-5 Reimb 4343000 $ 18.48 I 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
I
4-Sep 2014
Signature
$ 18.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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