242094 02/10/15 ��'.�,A+. CITY OF CARMEL, INDIANA VENDOR: 368282
��� ` CHECK AMOUNT: $**`*****18.64*
.+,'; ,• ONE CIVIC SQUARE GAIL STRONG
=9, ,� CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 242094
M�roa�. CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 18.64 TRAVEL FEES & EXPENSE
• 1
,
PRESCRIBED BY STATE BOARD OF ACCOUN76 GENERAL FORM 110.101(19067
MILEAGE CLAoIM
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(GOVEANN L UNIT}0.,I ON ACCOUNT OF APPROPRIATION NO. FOR
tornex,BOARD,9EP&Rniziff OA INsnrQl'ION)
SPEEDOMETER
DAT FROM TO READING .; AUTO MILEAGE
zD POINTPOINT START FINISH NATURE OF BUSINESS TRAED a o,ViiPER MILE
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y ✓ _ ;, `
ZZn L C�C7 2.
f v I Z
el to
i
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 le d ter allowing all just credits
and that no palt of the Payne ha' en paid.
Date � 1
3q 3
t
FEB - 3 2015
j
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.
368282 Strong, Gail Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/22/15 Reimb Mileage 9/15/14 - 1/24/15 $ 18:64
Total $ 18.64
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20
Clerk-Treasurer
I
Voucher No. Warrant No. I
368282 Strong, Gail Allowed 20
In Sum of$
$ 18.64
i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept# I
1081-11 Reimb 4343000 $ 18.64 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
i materials or services itemized thereon for
i which charge is made were ordered and
received except
r
i
i
February 5, 2015
t Signature
$ 18.64 Accounts Payable Coordinator
Cost distribution ledger classification if Title
!
claim paid motor vehicle highway fund !
i