HomeMy WebLinkAbout239018 11/11/14 4{�,C�p�f
CITY OF CARMEL, INDIANA VENDOR: 368092
v �� ONE CIVIC SQUARE TORRE DURRETT CHECK AMOUNT: $*******1 17.04*
r /r�; CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 239018
'M,,TON�` CHECK DATE: 11111/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 117.04 TRAVEL FEES & EXPENSE
GENERAL FORM NO.10111985)
PRESCRIBED BY STATE BOARD OF ACCOUNTS
4LMILEAGE CLAIM---
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AUTO LICENSE NO. TOTALS C)
+ 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' ly us,aft allow g c ed is.
and that ort the ame has been paid.
Date U
r
j;
OCT 3,1 20A
BY:
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.
368092 Durrett, Torre Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/30/14 Reimb Mileage 9/19- 10/30/14 $ 117.04
Total $ 117.04
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.
368092 Durrett, Torre Allowed 20
In Sum of$
$ 117.04
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#fT]TLE AMOUNT Board Members
Dept#
1081-3 Reimb 4343000 $ 117.04 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
6-Nov 2014
Signature
$ 117.04 ! Accounts Payable Coordinator
Cost distribution ledger classification if I' Title
I
claim paid motor vehicle highway fund
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