242285 02/17/15 '' ��p*• CITY OF CARMEL, INDIANA VENDOR: 366239
® 'i _ ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: S*******124.32*
:. ;4 CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 242285
11i. N CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 124.32 TRAVEL FEES & EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GF1tFAAL POAY 11G.101(1986)
OCA
MILEAGE CLAIM Nb
mL,
t�3 ro mdjc
(aovF-RNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
E SF-
(OF,ICE,BOARD,D TL67fr OP 1NSTITUIlON)
FROM TO I SPEEDOMETER AUTO At' AGE
DATE POINT I POINT STARTEADING FINISH NATURE OF BUSINESS TRAVELc
PER MILE
_.
fln cc
Q-T M cc, ------
2 5 (L-1M
�— Cr
.. 7 92
-1 MCC L09
Cn
2 --- --
T7— VVI c
T co�L
2
-- v
kU
- —
2cr ® c
M C 2
2+ AUTO LICENSE NO. TOTALS 22 I Z`I b2-
+
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.
end that no art o the same has been paid.
r
Date
I
FR -9 2015
7
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.
366239 Haddock, Monica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/3/15 Reimb Mileage 12/2/14 -2/3/15 $ 124.32
Total $ 124.32
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
120
Clerk-Treasurer
Voucher No. Warrant No.
366239 Haddock, Monica Allowed 20
In Sum of$
$ 124.32
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept#
1081-2 Reimb 4343000 $ 124.32 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
$ 124.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund