Loading...
HomeMy WebLinkAbout239075 11/11/14 CITY OF CARMEL, INDIANA VENDOR: 367837 1. ONE CIVIC SQUARE MIKE MARTIN CHECKAMOUNT: $********31.02* .�, CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 239075 *,troN�• CHECK DATE: 11/11/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 31.02 TRAVEL FEES & EXPENSE r PRESCRIBED BY STATE BOARD OF ACCOUNTS '/ GENERAL FORM 110.101(1980 , Cc �n MILEAGE CLAm O l `1 q Sa 1 L 1 (GOVERNMENTAL UNn1 ON ACCOUNT OF APPROPRIATION NO. FOR (01171C2,BOARD,DEP"TUDYT OR 1NSnTUTION) FROM TO SPEEDOMETER DATE READING } AUTO mII.EAGE 1 MATURE OF BUSINESS MILES. ® E POINT POINT START FINISH TRAVELED PER MILE L b ®- \ -- 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 legally due,after allow just credits,- and that no part Of the same hasbeenpaid. Date ( lam 1 ll� OCT z� 14 .rte�P• 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. 367837 Martin, Michael Terms Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 10/22/14 Reimb Mileage 8/27- 10/20/14 $ 31.02 Total $ 31.02 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 Voucher No. Warrant No. 36783.7 Martin, Michael Allowed 20 In Sum of$ $ 31.02 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE I PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members Dept# I 1081-11 Reimb 4343000 $ 31.02 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 $ 31.02 Accounts Payable Coordinator Cost distribution ledger classification if i Title claim paid motor vehicle highway fund I