HomeMy WebLinkAbout239992 12/09/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 366239
ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: S********70.00*C/O ESE CHECK NUMBER: 239992
CARMEL, INDIANA 46032 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 70.00 TRAVEL FEES & EXPENSE
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CEIVE
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DEC -2 2014
7PRMCRIBEDTATEBOARD OF ACCOUNTS GENERAL FORD 110.101 04867
MILE GE CLAIM 1
To Mt�YI� ca T't� e1L
(GOVERNMENTAL UNIT)
Ksd-
. ON ACCOUNT OF APPROPRIATION NO. FOR
(OHICE,BOARD, E}ARTU:EKT OR INSnTUr10N)
FROM TO SPEEDOMETER
D TE READING + AUTO AGE
ZD
ELPOINTPOINT START FINISH NATURE OF BUSINESS TRAVELED LED ® C
LA PER MILE
9 2-
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CC �_
97
C _ 2
l2
t MC Q
2
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AUTO LICENSE NO. TOTALS 1
111
+ 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 part of the same has been paid.
Date I�� Nova
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 pe.r.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
11/26/14 Reimb Mileage 11/4- 11/26/14 $ 70.00
Total Is 70.00
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.
366239 Haddock, Monica Allowed 20
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In Sum of$
$ 70.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
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PO#or Board Members
Dept# INVOICE NO. A CCT#/TITLE AMOUNT
1081-2 Reimb 4343000 $ 70.00 1 hereby certify that the attached invoice(s), or
bili(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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3-Dec 2014
Signature
$ 70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund