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239985 12/09/2014
+�r.CAAM ! ;� CITY OF CARMEL, INDIANA VENDOR: 367774 ;; ONE CIVIC SQUARE CARA GRAY CHECK AMOUNT: $********79:95* s9 ?: CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 239985 a„ioN�. CHECK DATE: 12/09/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 79.95 TRAVEL FEES & EXPENSE • • I :1• •i t, f:•; I n fl a..••roc , ®©Ii n W MET �l Film's `►_:V S.•4— �.Z ��'L►*�7, .:i.'�1R�Tt���-O��t1. !L]1�Z� .♦ . ���in`'w'��L"����..����I���:�Z! -'�" �I _. ,.� .�. • � � ��._ I��I ! .• Imo'! ' SIC'• � - ►._ �•- • �I��I I��i��•>, del ••• �1�%`ii1' I��I I�i�l� ,c wll�� - ��I �. MORTSM 1 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. 367774 Gray, Cara Terms 9955 Fair Haven Dr E Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 12/1/14 Reimb Mileage 10/21 - 12/1/14 $ 79.95 Total $ 79.95, 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. j 367774 Gray, Cara Allowed 20 9955 Fair Haven Dr E Indianapolis, IN 46280 (In Sum of$ $ 79.95 i , ON ACCOUNT OF APPROPRIATION FOR (, 108 -ESE PO#or INVOICE NO. CCT#/TITL Board Members AMOUNT �. Dept# 1081-99 Reimb 4343000 $- 79.95 I;I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and that the jMaterials or services itemized thereon for Which charge is made were ordered and I (,received except i 3-Dec 2014 Signature $ 79.95 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund - I Y