HomeMy WebLinkAbout240350 12/16/14 CITY OF CARMEL, INDIANA VENDOR: 180865
CHECKAMOUNT: S""""25.98'
(9,
ONE CIVIC SQUARE BARBARA LAMBCARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK NUMBER: 240350
CARMEL IN 46032 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4343002 12.09.14 25.98 EXTERNAL TRAINING TRA
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Prescribed by State Board of Accounts - ., 'General Form No.101(1955)
(� MILEAGE CLAIM.,
!`✓t ( TO DR.
Governments Unit)
On Account of Appropriation:No for
(Office,Board,Department or Institution)
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE @ ?W
20 Point Point Start Finish TRAVELED: PER MILE
' 4,,
777777
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x
e�
ca ea v s a FA. PI'1 .
tl 0
Auto License No. I TOTALS 11 5
`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 1853,1 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 �fL/)44
Claim No. Warrant'No: I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That itis in proper form;
That it is duly authenticated as required
.by-law:
That it is based upon statutory authority;
That it is apparently correct
$ 1 incorrect
On Account of Appropriation No. for
Disbursing Officer
. .. O Q,ID
Allowed 20 CD a
in the sum of$ o
CD
;
' o CD�. �
n �
((D (D C
(D
NO 0 ¢
(B=d of Commission) Q.O
CD
Y CD M
LYS
FILED Q
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5'
(Official Title) Q
O �
VOUCHER NO. WARRANT NO.
Lamb, Barb ALLOWED 20
IN SUM OF$
$25.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1201 I 12.09.14 I 43-430.02 I $25.98
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were.ordered and
received except
Monday, December 15, 2014
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
12/09/14 12.09.14 mileage $25.98
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
120
Clerk-Treasurer