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
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N7 OF APPROPRIATION NO. FOR
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DATE FROM
- TO ---- SPEEDOMETERMii.ESS a 0.5�
NATURE OF BUSINESS TRAVELED
2aI H POINT POINT START FINISH PER MILE
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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