HomeMy WebLinkAbout239067 11/11/14 CITY OF CARMEL, INDIANA VENDOR: 366990
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ONE CIVIC SQUARE JOSH LANE CHECK AMOUNT: $********60.92*
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=q CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 239067
CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 60.92 TRAVEL FEES & EXPENSE
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PB15CHMED BY STATE BOARD OF ACCOUN3'B I G900 u F08N NO.101:t 19861
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MILEAGE`CLAIMTo- nc,,,k c �
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ON ACCOUNT OF APPAOPRIATION.NO: FOR
(OFFICE,BOARD,DJSARTUM OR UMMOM ..
DATE FROM TO SEUDOMETER
READING A
UTO
- POINT POINT START MRSH NATURE OF eUSUMs TRAVELED
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AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fined mileage or official highway map. L
Pursuant to the provisions and penalties of Chapter 155,Acts 1853,I hereby certify that the foregoing account is just and.correct,that the amount claimed i7ay e,after allowing lis!cr 'ts:end that no part of the same has been paid.
Date
S
OCT `'i 2014
BBY:
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.
366990 Lane, Josh Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/28/14 Reimb, Mileage 9/22- 10/26/14 $ 60.92
Total $ 60.92
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
Voucher No. Warrant No.
366990 Lane, Josh Allowed 20
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In Sum of$
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$ 60.92
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
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Po#.orBoard Members
INVOICE No. ACCT#/TITL AMOUNT I
Dept#
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1081-11 Reimb 4343000 $ 60.92 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
4 which charge is made were ordered and
received except
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6-Nov 2014
Signature
60.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
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claim paid motor vehicle highway fund
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