HomeMy WebLinkAbout243686 03/31/15 CITY OF CARMEL, INDIANA VENDOR: 367093
ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $'•'..•'•44.85•
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 243686
Mc.oN CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 44.85 TRAVEL FEES & EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS i/ GENERAL FOR11110.101(1986)
MILEAGE CLAIM
(GOVERNMENTAL UNIT?
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFaCE•BOARD.DEEART ER7 oil INsrrrunom)
SPEEDOMETER
DATE FROM TO READING + AUTO E
POINT POINT START FINISH NATURE OF HUSINESH TpgygLED
PER MILE a 5?J i
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AUTO
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
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.
367093 Clark, Alyssa Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/10/15 Reimb Mileage 1/5- 3/3/15 $ 44.85
Total $ 44.85
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
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Voucher No. Warrant No.
367093 Clark,Alyssa Allowed 20
In Sum of$
$ 44.85
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ON ACCOUNT OF APPROPRIATION FOR 1
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108 -ESE
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PO#or INVOICE NO. 4CCT#/TITL AMOUNT f Board Members
Dept#
1081-4 Reimb 4343000 $ 44.85 1 hereby certify that the attached invoice(s), or
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bill(s)is(are)true and correct and that the
j materials or services itemized thereon for
i�.1 which charge is made were ordered and
received except
1
March 19, 2015
y
Signature
is 44.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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