HomeMy WebLinkAbout240155 12/09/14 J'/ CITY OF CARMEL, INDIANA VENDOR: 368929
ONE CIVIC SQUARE LESLIE WIMBERLY CHECK AMOUNT: $********71.48*
s. ?�: CARMEL, INDIANA 46032 C/O PARKS DEPT CHECK NUMBER: 240155
`�.,,;.oN-�` CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 380 71.48 TRAVEL FEES & EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL-FORM 110.101 119867
MILEAGE CLAIM ��
If LS (�(Sr_� - TO-
(GOVERNMENTAL
O(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
IOFFICE,.BOARD,DEP.ARTMkM OR INSTnUriON)
FROM TO SPEEDOMETER AUTO MILEAGE
DAT READING f MILES @ f
ppplT POINT START FINISH MATURE OF BUSINESS TpAgELED
PER MILE.
DVY Z 3 ' S
4 / +! s ri 1 •/ 3 S�
14
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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 1953,1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after aliotiv' g all.jus credits'.
and that n art f the same has been paid.
I v
Date n
(� V
N0V 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.
Wimberly, Leslie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/13/14 Reimb Mileage 10/7- 11/11/14 $ 71.48
�r
Total $ 71.48
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with 1C 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
Wimberly, Leslie Allowed 20
In Sum of$
$ 71.48
i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT ' Board Members
Dept#
1081-8 Reimb 4343000 $ 71.48 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
� I
I materials or services itemized thereon for
which charge is made were ordered and
received except
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i
3-Dec 2014
f
I
Signature
$ 71.48 Accounts Payable Coordinator
Cost distribution ledger classification if i Title
claim paid motor vehicle highway fund