HomeMy WebLinkAbout240852 01/07/15 ;`' CITY OF CARMEL, INDIANA VENDOR: 367748
® ONE CIVIC SQUARE 'ELIZABETH VANHOOSE CHECK AMOUNT: $ ....."22.12`
r° CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 240852
byr�H�o CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 22.12 TRAVEL FEES & EXPENSE
DEC 2 9 2614
PRESCRIBED BY STATE BOARD OF ACCOUNTS BY: GENERAL FOAM NO.101(1906)
J 66 � � MILEAGE CLAIM �� �,bP. • `.- ,, .. \A30
J (GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(Off ICE,BOgRD,DEPARTMENT OA 1NSi1TU'i108J
j DATE, FROM TO SPEEDOMETER AUTO MIL E
fF i uJ— READING -
2O-1MILE9 p_ c
POINT PSTART FINISH NATURE OF BUSINESS
OINT 1'AAVELED
PER MILE
o LV
t
a taq--
i
AUTO LICENSE NO. TOTALS 3 1 .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 1953,I hereby certify that the foTegoing account is just and correct,that the amount claimed is lega ly due,after allowing all just credits:
and that noart of the same ha been aid.
Date p 1 7 �p
w
f��
5
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.
Van Hoose, Elizabeth Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/11/14 Reimb Mileage 8/28 - 12/1/14 $ 22.12
Total $ 22.12
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Van Hoose, Elizabeth Allowed 20
In Sum of$
I
$ 22.12
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept#
1081-10 Reimb 4343000 $ 22.12 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
$ 22.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund