HomeMy WebLinkAbout238221 10/15/14 J`.%' gyp''• CITY OF CARMEL, INDIANA VENDOR: 366471
® ; ONE CIVIC SQUARE SHANDI WALKER CHECK AMOUNT: $*******158.48"
�` ,�� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 238221
a,�roN�. CHECK DATE: 10/15/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 158.48 TRAVEL FEES & EXPENSE
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PMCx10ED DT STATE BOARD OF ACCOUNTS CEMILL FORM NO IQI JIM
n [� MILEAGE CLAIM
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IFWVMMENTAL u0m ON ACCOUNT OF APPROPRIATION NO. FOR
tOfi M HOARD.DWARTUOM OR INSUTOLIOR)
FROM TO SPEEDOMETER AUTO
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DATE FRO POINT STAREADING + NATURE OF BUSINESS 77MILESib � �
RT FINISH PER MI
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AUTO LICENSE NO. TOTALS
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 claimed is legall E alioNving all to cre ils.
end that no part of the same has been paid.
Date
� � OCT2014
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.
366471 Walker, Shandi Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/6/14 Reimb Mileage 8/4-,9/30 $ 158.48
Total $ 158.48
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
120
Clerk-Treasurer
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Voucher No. Warrant No.
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366471 Walker, Shandi Allowed 20
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__ In Sum of$
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$ 158.48
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ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO: CCT#/TITL AMOUNT
1081-9 Reimb 4343000 $ 158.48 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
r
which charge is made were ordered and
received except
9-Oct 2014
Signature
$ 158.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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