240665 01/07/2015 �u•S�xM
F, CITY OF CARMEL, INDIANA VENDOR: 368092
ONE CIVIC SQUARE TORRE DURRETT CHECK AMOUNT: $**.....123.20*
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 240665
'+ oN CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 123.20 TRAVEL FEES & EXPENSE
DEC L 9 2014
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RBSCRIBED BY STATE BOARD Or ACCO4j rs �
Y.
FORM NG.1Q1 llireb)
l n MILEAGE CLAIM /T) V
�BORD
u 1.u r I/1 ,-.i _ ,. /1 ! ON ACCOUNT OF APPROPRIATION NO. FOR
P ORINSTIMION) ►' l `!�1"/1`IY/V`C__v
,�Lq. FROM TO SPEEDOMETER AUTO M, EAS%
2.0D� I READING + MILES J
NATURE OF BUSINE56
POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS 1 -ZZ-(D 1j3 V
+ 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 o1 Chapter 155,Acts 1953,1 hereby certify that the foregoing account is just and correct,that the amount c imed is leg ly due,after io ing all I
end that no pa fMhe ame s been paid
Date
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.
368092 Durrett, Torre Terms
Invoice ' Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/10/14 Reimb Mileage 10/31 - 12/9/14 $ 123.20
I 'I
Total $ 123.20
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
Voucher No. Warrant No.
368092 Durrett, Torre Allowed 20
In Sum of$
$ 123.20
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-3 Reimb 4343000 $ 123.20 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
r4doxb~
Signature
$ 123.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund