242241 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 369107
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ONE CIVIC SQUARE MARK CONNORS CHECK AMOUNT: $*********7.56*
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 242241
CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 7.56 TRAVEL FEES & EXPENSE
Iti
GENERAL FORK IIB.10)11900
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM Per D
i ro
s 1169 t'3t
(GOVERNMENTAL uNn1� ON ACCOUNT OF APPROPRIATION NO. FOR �-- ,
j/to,j P,BOARD,DEPARTKENT OR INSMU1108)
FROM SPEEDOMETER AUTO l�tIIr-EA/G-E "
D TE TO READING .1- MILES CS
�At NATURE OF BUSINESS TRAVELED
Zo ►1 POINT POINT START FINISH PEA MILE
ICA kA14-1— CA
odor\ T
qtr/ 2 Q
i
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 legally due,after allowing all just credits
and that no part of the same has been paid.
Date
it FEB 9 2015 1
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.
Connors, Mark Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/5/15 Reimb Mileage 9/26- 11/13/14 $ 7.56
I
Total $ 7.56
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
Connors, Mark Allowed 20
In Sum of$
$ 7.56
ON ACCOUNT OF APPROPRIATION FOR _
108 - ESE
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081-11 Reimb 4343000 $ 7.56 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
February 12, 2015
Signature
$ 7.56 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund