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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 lo J lo n'k W on Cin o d ar c'_- fioL'r s t o1,9 Iq 2 S 3'7- 3 �' S o v r/.. 1 C P.T t3. • �� o // C 3 l�ml M­F,Ig 3t S / L) // 3 s /o G / 3 S J ii 3 CILY .D l/ inr '1. 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 I I I 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