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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 ----_—____ --_J FBFbCg1EE0 8Y STATE 80Agb OF ACCODNr9 - r�;r: G6UEIIAL FORM NO.101(LF0(,) MILEAGE CLAIM ro moves AL bxilt ON ACCOUNT OF APPROPRIATION NO: FOR (OFFICE,BOARD,DIIPARTI UNT OR Wnnn ON) DATE FROM TO SPEEDOMETER RUM= G AUTO IMAGE --- POINT POINT START FINISH NATURE OF BUSINESS TRAVELED ® l - PERR M MILE N t G CD : ss, -3-2 2. C-fi w c> V✓ SS i C—eel Z AUTO LICENSE NO. TOTALS Z1* + 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