HomeMy WebLinkAbout239042 11/11/2014 CITY OF CARMEL, INDIANA VENDOR, 358411
ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $*******153.44*
f. +', CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE CHECK NUMBER: 239042
+MdrtiN INDIANAPOLIS IN 46220 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 153.44 TRAVEL FEES & EXPENSE
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OCT 2 7 2014
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM 110.101(IBBB)
MILEAGE CLAQIM
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((�FANMENTAL IRUT)
��JJ�'LLCC ON ACCOUNT OF APPROPRIATION NO., FOR
(OFi(CE•BOARD.DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
DAT READING .{
2� t NATURE OF BUSINESS MILES p ; 5(D C
POINT POINT START FINISH TRAVELED PER MILE
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 1
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 al,oT inq just
and that no part of the same`has been paid.
Date
�[o�-q D g300
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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/14/14 Reimb. Mileage 8/4- 9/30/14 $ 153.44
Total $ 153.44
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
Voucher No. Warrant No.
358411 Hammons, Jennifer
Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of$
$ 153.44
f
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
!
PO#or INVOICE NO. ACCT#/TITL AMOUNT. Board Members
Dept#
1081-10 Reimb. 4343000 $ 153.44 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
i
Signature
153.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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