HomeMy WebLinkAbout241326 01/22/15 .�+°�'CAH
s CITY OF CARMEL, INDIANA VENDOR: 367837
`i ONE CIVIC SQUARE MIKE MARTIN CHECK AMOUNT: $********10.36*
=Q; CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 241326
p
`M;;oN�` CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 10.36 TRAVEL FEES & EXPENSE
PHEbCgIBEb 8Y sun:BOARD OF ACCOUNTS G INERIL FOHN NO.101 110867
i MILEAGE CLAIM U
Jl TO
- l� P
—-- (covin AL UNIT)
ON'ACCOUNT OF APPROPRIATION NO: FOR
i
(OFFICE,BOARD,DEPMiN1Ni OR nls mr om
DATE FROM TO SREAADDWQ ER AUTO ��AGE
-- POINT POINT START FINISH NATURE OF BUSINESS TRA E ED ® P� 9
i - lUP, p 7J O
4 t c C>s i z urI G
l'i-ll', t crts D
-xla. A r-e bmle
AUTO LICENSE NO. TOTALS i 8 kc)
. 30
+ 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 199,Acts 1893,I hereby certify that the foregoing account is lust and correct,that the amount claimed is legally dutar all Ing all just credits
end that no part of the same has been paid,
Date
.t
JAN 1 3 2015
B Y:�_
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.
367837 Martin, Michael Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/9/15 Reimb Mileage 10/26- 12/26/14 $ 10.36
Total $ 10.36
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
Voucher No. Warrant No.
367837 Martin, Michael Allowed 20
In Sum of$
$ 10.36
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE yI�
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081-99 Reimb 4343000 $ 10.36 I 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
14
i
January 15, 2015
Signature
$ 10.36 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
1
I