HomeMy WebLinkAbout241258 01/22/15 +us C�9'M
a f CITY OF CARMEL, INDIANA VENDOR: 367093
;; t ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $*—.....64.96'
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 241258
*9roH�L�'= CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 64.96 TRAVEL FEES & EXPENSE
GENERAL PORN IIG,lel(1985)
PRESCRIBED BY STATE BOARD Of ACCOUNTS
MILEAGE CLAIM ,\/v1/(
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IGOVERNNENTA UUNI'nFOR
ON ACCOUNT OF APPROPRIATION NO.
1OFi7CE,BOARD,DEPARTMENT OR INSTITUTION)
SPEEDOMETER AUTO t,(FLZAGE
DATE FROM TO READING + NATURE OF BUSINESS MILES Cd�S b
L�'111 POINT POINT START FINISH TRAVELED PERMI
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AUTO LICENSE NO. TOTALS �.� Q9
+ 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 legally due,after aliowing all just credits.
end that no part of the same has been paid.
Date J �J'
q3
JAN 1 2 2M5
I BY: i
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.
Terms
367093 Clark, Alyssa
Invoice Invoice Description Amount
or note attached invoice(s)or bill(s)) PO#
Date Number ( 64.96
1/5115 Reimb Mileage 11/12- 12/29/14
Total $ 64.96
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
Voucher No. Warrant No.
367093 Clark, Alyssa Allowed 20
In Sum of$
$ 64.96
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 64.96 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 15, 2015
Signature
$ 64.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund