HomeMy WebLinkAbout242940 03/11/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 369160
ONE CIVIC SQUARE MAX ELLIS CHECK AMOUNT: $********19 72*
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 242940
CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 19.72 TRAVEL FEES & EXPENSE
° QhtSChID[D m 6TAtL isOAhD Or ACCDtINt3
GENFAAL rohw N6 1Cl(1909)
MILEAGE CLAIM
To /A A-A
tewr�tNrAL
ON ACCOUNT OF APPROPRIATION NO. FOR _
—E61 cc,w+um.Dv 014 tosmurlog)
DATE FROM TO SPEEDOMETER ___
READING + AUTO MILEAGE
1—1 POINT POINT START FINISH NATUM OF'auaa ESs a
78A O LHD
IS�
1D 22 M E ti d.e.�A,n Sewn eS qde'__ i ►:JP h nt9.2'
10 30 PATE TI`\S PM ar, e1
o '4 T C M C.( _ i t w s r r o ire rc�"Inq— 3 0
Lt, -_ r, .fi - 3 30
I M' _ M G �tuKP M c pr,cfi _ ra► 3D
I
AUTO LICENSE NO. TOTALS
+ $PE6DOMF2EH HEADING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to Ilse provisions and penalties of Chapter 155,Acts A53,1 hereby cartify that the foregoing account i9 lust and correct,that the amount claimed is legally due,after aliowing all lust credits.,.
end that no part rof the same has been paid.
bate -2Z 1 A:55
00
M' O:S 2015
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.
Ellis, Max Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/19/15 Reimb Mileage 10/22/14- 11/17/14 $ 19.72
Total $ 1'9.72
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.
Ellis, Max Allowed 20
In Sum of$
$ 19.72
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081-9 Reimb 4343000 $ 19.72 i 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
)
I
March 5, 2015
f
Signature
$ 19.72 ), Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1