HomeMy WebLinkAbout242801 03/03/2015 CITY OF CARMEL, INDIANA VENDOR: 368794
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ONE CIVIC SQUARE APRIL MURRAY CHECK AMOUNT: $ 39.69CARMEL, INDIANA 46032 C/O LAW CHECK NUMBER: 242801
CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343004 39.69 TRAVEL PER DIEMS
iPRESCRIBED BY STATS BOARD OF ACCOUNTS GENERAL FOAM NO.101(1986)
MILEAGE CLAIM `
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C) GOVERNMENTAL UNIT) y3�_ � —T.r� ��
�L (�` ON ACCOUNT OF APPROPRIATION NO. � FOR �C 'J��Y✓I
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(OFFICE,BOARD,DEPARTMENT OR INSTITUTION
DATE FROM TO SPEEDOMETER AUTO M_ GE
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READING + NATURE OF BUSINESS MILES @
POINT POINT START FINISH TRAVELED
PER MILE
Wow)- ro -25 vOA6 ' -P -b (L-rmtl 13 U in 6 - 60a e
v 1 3 D660 n - a i
3 5 to SVi svi )Ip r 3 0�l' a j - on U i CSS �3 J-3
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
- I
Claim No. Warrant No. { I have examined the within claim and hereby
j certify as follows:
IN FAVOR OF
j That it is in proper form.
C That it is duly authenticated as required
by law .
That it is based upon statutory authority,
That it is apparentlyI correct
l incorrect
Disbursing Officer
On Account of Appropriation No. 300for
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