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HomeMy WebLinkAbout239039 11/11/14 CITY OF CARMEL, INDIANA VENDOR: 366239 ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: $R*M** }178.10 i CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 239039 CHECK DATE: 11/11/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 178.10 TRAVEL FEES & EXPENSE PRPSCftIBCD BY STATE BOARD OF ACCOUNTS GENERAL FOAM 110.161(1986) MILEAGE CLAIM �{-- �" C (GOVERNMENTAL 1t) ON ACCOUNT OF APPROPRIATION NO. FOR (OF710E,DOAAD, DEPARTHINT OA INStmmON) FROM TO SPEEDOMETER AUTO AGE DATE MILES (y 1� READING .y. NATURE OF BUSINESS TRAVELED � POINT POINT START FINISH PER. -- ' MCIC CG L --o M C C Q Lo e_ - i . mc C h 012 MCC l ( � qAUTO 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 legally due,after allowing all just credits and that©�rt of th me has been paid. Date 1. OCT 2 3 2814 BY: PRESCRIBED BY sTASE BOARD Or ACCOUNTS GENFAAL FORM 110.101(1986) MILEAGE CLAIM �am — To COHICE1 (GOVFANNENIAL UNI'n c ON ACCOUNT OF APPROPRIATION NO. FOR (OirICE,�`AA , EPARTT@(r OR INSnT)IXION) FROM TO SPEEDOMETER D T READING + AUTO MILEAGE z0 POINT POINT START FINISHNATURE OF BUSINESS Tp�LED ® PER MILE_—Ja? D _. 151) 1 A14` ---� ---� i 1 1 - AUTO LICENSE NO. TOTALS � - 1 + 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 legally due,after allowing all just credits and that no art of the same has been paid. Date © �� ,�1 ��/L- NOV 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. 366239 Haddock, Monica Terms Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 10/21/14 Reimb Mileage 8/19- 10/31/14 $ 178.10 Total $ 178.10 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with I C 5-11-10-1.6 20_ Clerk-Treasurer Voucher No. Warrant No. I 366239 Haddock, Monica Allowed 20 I In Sum of$ i I $ 178.10 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-2 Reimb 4343000 $ 178.10 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 6-Nov 2014 I jSignature j1 1 1 $ 178.1 0; Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund