HomeMy WebLinkAbout240351 12/16/14 �%'��"''� CITY OF CARMEL, INDIANA VENDOR: 366990
® ONE CIVIC SQUARE JOSH LANE CHECK AMOUNT: $"k R■■R R*47.82•
=a; CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 240351
9M1TON�` CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 47.82 TRAVEL FEES & EXPENSE
DEC -8 2ON
FRESCHMED BY STATE BOARD OF ACCOUNTS Maw NO.101(INN
P
MILEAGE:CLAIM _
TO
(60VIR AL UMT)
ON'ACCOUNT OF APPROPRIATION NO: FOR
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AUTO LICENSE NO. TOTALS �S 2
+ 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,I hereby certify that the foregoing account is Just and correct,khat the amount claimed is le y e,after allowing all res
end that no part of the Barge has been paid.
Date
D4
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.
366990 Lane, Josh Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/5/14 Reimb Mileage 10/29- 12/5 $ 47.82
Total $ 47.82
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
i
Voucher No. Warrant No.
366990 Lane, Josh I Allowed 20
In Sum of$
i
$ 47.82
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
I
PO#or j Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT �
1081-11 Reimb 4343000 $ 47.82 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
I materials or services itemized thereon for
I which charge is made were ordered and
received except
11-Dec 2014
I
{
i Signature
$ 47.82_ ` Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
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