240667 01/07/2015 y ui.C4NM
CITY OF CARMEL, INDIANA VENDOR: 369012
® it ONE CIVIC SQUARE ANTHONY ENGLAND CHECK AMOUNT: $*—......4.70`
�. � CARMEL, INDIANA 46032 C/o PARKS CHECK NUMBER: 240667
CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 4.70 TRAVEL FEES & EXPENSE
ar a
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PRESCRIBED BY STATE BOARD OF ACCOUNTS DEC 29 2014 GENERAL i'OR1d IIO.101 U986)
BY. MILEAGE CLAIM AJ7� -7Gs7y i ZgA?4
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTMENT OR 1NSrLTUTION)
DATE FROM — TO SPEEDOMETER
READIING + AUTO MILEAGE
2Q NATURE OF BUSINESS MILES ® .$6 c
POINT t POINT START FINISH TRAVELED PER MILE
iz wr & ria -- — -
s.tioKyy ROear 5
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. �O
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 le ly due_,after allowing all j at credits
and that no part of the same has been paid.
Date /Z//Z1 20/ f
f
Q �3 �
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.
England, Anthony Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/12/14 Reimb Mileage 12/3/14 $ 4.70
Total $ 4.70
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
20_
Clerk-Treasurer
i
�k
Voucher No. Warrant No.
England, Anthony Allowed 20
In Sum of$
$ 4.70
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#orBoard Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-10 Reimb 4343000 $ 4.70 1 hereby certify that the attached invoice(s), or
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
January 2, 2015
Signature
$ 4.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund