HomeMy WebLinkAbout238077 10/15/2014 C
�/ ,� CITY OF CARMEL, INDIANA VENDOR: 367093 p
.I; ® ��• ONE CIVIC SQUARE ALYSSA CLARK
CHECK AMOUNT: $********48 72*
19\ f=q. CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 238077
*,TON CHECK DATE: 10/15/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 48.72 TRAVEL FEES & EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORK NO.101(1906)
- �:Sc MILEAGE CLAIM V
GTO
(GOVERNMENTAL UN117
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE.BOARD,DEPARTMENT OR INSTITUTION)
DAZg FROM TO SPEEDOMETER AUTO MILE OE
f}' READING �-
NATURE OF BUSINESS 1 MILES Q
POINT POINT START FINISH PER MILE
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AUTO LICENSE NO. TOTALS J
+ SPEEDOMETER READING columns are it)be used only when distance between points cannot be determined by fixed mileage or official highway map. v
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:
end that no part of the same has been paid.
Date 1 n l 1�d L
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z �
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.
367093 Clark, Alyssa Terms
Invoice Invoice Description.
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/1/14 Reimb Mileage 8/15- 9/30/14 $ 48.72
Total $ 48.72
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
I
20_
Clerk-Treasurer
Voucher No. Warrant No.
367093 Clark, Alyssa Allowed 20
In Sum of$
$ 48.72
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 48.72 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
9-Oct 2014
I
Signature
$ 48.72 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I