HomeMy WebLinkAbout240861 01/07/15 a�"C4NM
S.. CITY OF CARMEL, INDIANA VENDOR: 369016
ONE CIVIC SQUARE NICOLE YOUNG CHECK AMOUNT: $""**"*'20.16"
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 240861
'fro„air CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 20.16 TRAVEL FEES & EXPENSE
7..q-
DEC 2 9, 2014
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENAA AL FOAM NO.101 0 B06)
MILEAGE CLAIM w I
L Lcp -_�
(GOVERNMENTAL U14M
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFi10E,BOARD.DEPARTMUCT OR INST1T(/TION)
S
DATE PEEDOMETER.� FROM TO READING + AUTO
UT O MILEAGE `
Zd i—F POINT POINT START FINISH NATURE OF BUSINESS TRAVELE[ D ®
PER MILE
SA 0 '��*" d n Gl
S UC)
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.
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 leg fly due,after allowing all just cre
and that no part of the same has 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.
Young, Nicole Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/10/14 Reimb Mileage 12/10/14 $ 20.16
Total $ 20.16
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
.a
20_
Clerk-Treasurer
Voucher No. Warrant No.
Young, Nicole IV Allowed 20
In Sum of$
$ 20.16
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#-or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-10 Reimb 4343000 $ 20.16 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
$ 20.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund