HomeMy WebLinkAbout244237 04/15/15 9CITY OF CARMEL, INDIANA VENDOR: 369259
i= 21• ONE CIVIC SQUARE COLIN FISCHER CHECK AMOUNT: $********15.52*
,9 ,�� CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 244237
*„TON-°• CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 15.52 TRAVEL FEES & EXPENSE
FP.W-CRIaEJ3 B;STATE BOARD OF ACCOUNTS GENERAL FOAL 110.101(1906)
�� MILEAGE CLAIM &/.
ro
Aal
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
' IOFPICE,BOARD,DETAAT O"OA 7NSTTMION)
DATE FROM TO SPEEDOMETERREADING + AUTO 11ILEAG
V POINT POINT STAR7 FINISH NATURE OF BUSINESS TRAVELED Cs-TZ
f
PER MILE
AUTO LICENSE NO_ TOTALS X75
+ 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 car*that the foregoing account is just and correct, that the amount claimed is le y d ,after allowing all t `✓
and that no artQof the same as been paid.
Date
APR 0 2015
Zj-
:
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.
Fischer, Colin Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/30/15 Reimb Mileage 3/23/15 $ 15.52
Total $ 15.52
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
i
Voucher No. Warrant No.
Fischer, Colin ' Allowed 20
In Sum of$
$ 15.52
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ON ACCOUNT OF APPROPRIATION FOR
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108 ESE
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PO#or INVOICE NO. ACCT#/TITLE AMOUNT ! Board Members
Dept#
1081-4 Reimb 4343000. $ 15.52 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
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April 9, 2015
Signature
$ 15.52 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund