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HomeMy WebLinkAbout239938 12/09/2014 tqq . CITY OF CARMEL, INDIANA VENDOR: 367093 ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $*****"**53.76* CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 239938 CHECK DATE: 12/09/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 53.76 TRAVEL FEES & EXPENSE GENERAL FORM LIC (a(ins) PUSCRMED By STATE BOARD OF ACCOUNTS Ak t) MILEAGE CLAIMUNIT) ON s C 1-K(60vEANMENrAL uNON ACCOU N7 OF APPROPRIATION NO. FOR ' (OF1CC,BOARD.DFl ARTMS}!T Oq lriSTTffrilOri) B DATE FROM - TO ---- SPEEDOMETERMii.ESS a 0.5� NATURE OF BUSINESS TRAVELED 2aI H POINT POINT START FINISH PER MILE Ma K-7 r-be PDC - M c� - 3 — 0 M Cc JV— Dl I I0 Y LAA0,rx S._vawmi l —!- Z FD _ C Z C -- �� -- lD � r} ' - bE C � o 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 allowing all just credits. and that n paoI the same has been paid. Date !�1 11110 Z�' 1 LOV 2 4 2014 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. 367093 Clark, Alyssa Terms Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 11/11/14 Reimb Mileage 9/30 - 11/11/14 $ 53.76 Total $ 53.76 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. 367093 Clark, Alyssa Allowed 20 In Sum of$ $ 53.76 ON ACCOUNT OF APPROPRIATION FOR _ 108 -ESE PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept# 1081-4 Reimb 4343000 $ 53.76 1 hereby certify that the attached invoice(s), or hill(s) is(are)true and correct and that the inaterials.or services itemized thereon for which charge is made were ordered and ieceived except 3-Dec 2014 Signature $ 53.76 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund