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243163 3 /18/2015 s, � CITY OF CARMEL, INDIANA VENDOR: 362295 j; c1 ONE CIVIC SQUARE DAVID BARNES CHECK AMOUNT: $'"'""""138.59' s. ,_� CARMEL, INDIANA 46032 5634 RIDGE HILL WAY CHECK NUMBER: 243163 vy�ffori�� AVON IN 46123 CHECK DATE: 03/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 138.59 EXTERNAL TRAINING TRA David F �r Barnes k. City of Carmel . �_ I111111IIIIIIIIIIIIIIIIIIII(IIII(1111II(II11(11IIIIII(I F.J _4010 TRANSPORTATION CONFERENCE I EXPO , Awl AVIATION BICYCLE&PEDESTRIAN•CONSTRUCTION DESIGN ePAVEMENTS e PROJECT MANAGEMENT•RAILROAD TRAFFIC J I PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.101(1955) MILEAGE CLAIM C1+1 0 f C0.rr,-,,1 TO (GOVERNMENTAL UNIT) pe-P ay-+`Y'Pr-)+- c+ �1'`S''�f,-J ON ACCOUNT OF APPROPRIATED NO. FOR (OFFICE,BOARD,DEPARMTNE OR INSTITUTION) DATE FROM TO ODOMETER MILEAGE READING+ NATURE OF BUSINESS AUTO MILES @ 57.5 cents 201S POINT POINT TRAVELED PER MILE START FINISH 3 1 o U© Oledut 11320 03'(o scLLo&- C9 so to �Wff 400AJ i13300 113 g --0 s(f"(mac E tj3q6q 11 Ss30 aopo sc4coc. 3 Cr vP� A Jc) 113530 113 1 QD 5CAoc r- 421 AUTO LICENSE NO.� TOTALS +ODOMETER 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 ,20 Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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 Dave Barnes Purchase Order No. Terms Date Due Invoice Invoice Description Date. Number (or note attached invoice(s)or bill(s) Amount 3/9/2015 0 Mileage for Purdue Road School $ 138.59 Total $ 138.59 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. Dave Barnes ALLOWED 20 1 IN SUM OF$ � r $ 138.59 ON ACCOUNT OF APPROPRIATION FOR L Board Members PO#or DEPT# INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 2200-4343002 $ 138.59 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; ti I I 3/16/2015 Signature City Engineer ,! I Cost Distribution ledger classification if Title claim paid motor vehicle highway fund