HomeMy WebLinkAbout238124 10/15/14 0(" CITY OF CARMEL, INDIANA VENDOR: 368744
ONE CIVIC SQUARE PATRICK HURLEY CHECK AMOUNT: $********25.03*
?�; CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 238124
*„roN-�° CHECK DATE: 10/15/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 25.03 TRAVEL FEES & EXPENSE
OCT - 1 2014
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FBFbCg1EE0 8Y STATE 80Agb OF ACCODNr9 - r�;r: G6UEIIAL FORM NO.101(LF0(,)
MILEAGE CLAIM
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ON ACCOUNT OF APPROPRIATION NO: FOR
(OFFICE,BOARD,DIIPARTI UNT OR Wnnn ON)
DATE FROM TO SPEEDOMETER
RUM= G AUTO IMAGE
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+ SPEEDOMETER READING columns are to be used only when distance between pointscannot be determined by fixed mileage or official highway map. A .�3//��J6
Pursuant to the provisions and penalties of Chapter 169,Acte 1893,I hereby certify that the foregoing account is Just and correct,that the amount claimed is lega due, ter allowin all It eradi /�/
and that no p Zf t�same has been paid. ��
Date `�
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.
Hurley, Patrick Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/25/14 Reimb Mileage 3/15- 9/18/14 $ 25.03
Total $ 25.03
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
i
I
Voucher No. Warrant No.
Hurley, Patrick Allowed 20
In Sum of$
I
$ 25.03
1
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1081-11 Reimb 4343000 $ 25.03 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
j. Signature
$ 25.03 i Accounts Payable Coordinator
Cost distribution ledger classification if I Title
I
claim paid motor vehicle highway fund