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244350 4 /15/2015 +�r,tqq* �/ �'• CITY OF CARMEL, INDIANA VENDOR: 363382 4� .jg ® ,• ONE CIVIC SQUARE MEAGAN STORMS CHECK AMOUNT: $'*"***'248,64' ;� �� CARMEL, INDIANA 46032 CHECK NUMBER: 244350 ''��roN' ' CHECK DATE: 04/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 248.64 TRAVEL FEES & EXPENSE I GENERAL FORM RO.101 11986) PRESCRIBED BY STATE BOARD OF ACCOUNTS MILEAGE CLAIM TO (GOVERN MafENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE,BOARD,DEPARTMFHr OR INS TTLITION) FROM TO SPEEDOMETER AUTO DATE, READING + �j MILES p � Z POINT POINT START FINISH ,3X TRAVELED NATURE OF BUSINESS D PER MILE '.11� [ Y mf HN111OA W 93D- ( r s M `t% be6 •G0 4- Z SOVI �' VVtaY" TSelnooL t l�+Orl I 17- -70 2 PT � u ` --- < 7 0 . mon b D %eA'?0e4a a m Y 7 V ~arktI 07- 0 C:> U6 mon-fi-O ItS Do nQ m 0 147- Non 1 �. cZ rL VL L t o� r 0 �✓ AUTO LICENSE NO. N.10TOTALS + SPEEDOMETER READING columns are to be used only when disiance between points cannot be determined by fixed mileage.or official.highway map. '00-0-7 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 alio just credits and that no part of the same has been paid. Date I l Q� APR 0 2015 li � I Gin 10 Uv X qlaa iNpoq ovv[owea wpp p-od ou:j%,T-pua 11P S av"Am.'WIP yvr,�,,ni'MPATp4ni al p,,-vgalo ixmoam Via 4VVI PmAmou pu,,l jmf fn jIxtko=v h%xmf)OXOj OTS IVIII A)Tpfo(qo.tetjl'My�P�j,'gill aindynio jo eonrwnd paw=Wpmd s of jimnamj pA�Aq puTw.clop vq jou=o 4matf uroAW-t"twlqp—qjt/T-pa- i)q at—twar" E)pjayV Vwx k )Q�Qpix C-4. VjfWA; Lurq -2P 2D . ----------- . I NO LVIS V--+ lxq)-v -40 LP b CLt FLA- A -3191h 1 IWIIITAL CX* wftirkv Vv- LtYWIN Q M- EVA Maw=40 ImaLIM umm Uwe Pmma MAU '03 UMM-W Jo(Iwcn trona is WIML=" -S I rza:�t¢wm w acJntaxana Gi~ex�:mii~s 14MERGY CLAM w 3tcCovM crr srcnop> xwv v ldki'Fux.pwo+&i iJ an ut7rcY s#USj— DTr` FSKJi( TO }2Z7CTyyFiC7 1I(' AUTO U V ILS c7�_ -�-�- k�b1tY XQL27T — #PR F S �1't>ti1T I itF..VTa7i O:":sMM'su j3 amu, $•:s Wr_v. AttVrcn -70L Li -70 r VA vm fi In `Vj L �1rio uch7taR xo. IOTALn * 3I'EIElaOlei:1$Xt ItEt�l�ic?Gl a�lnnaou wro to bc, tz r�nlp>rbaa dia[ .a katsrooa 1Paiatt xa snot baa dulo:erinoa by ftkad Patilcaapc ox.a[fiok;cl Righlray scup. Pursnaaat In the,Pvrd-?nae an-A pam4tW;i of ChApter 15f3,t"$.cia xD83,Ilaox�by aartl(y ihnt tha;arotra[�g daaooa!Err}rWt att�i rarx©rt, klamt l.;a.�asn•oaueF cla�irm.::d lu lc�s�llr dtua,:uSEa c:[]o,:;tvt?r, }uot anal lhat no pnxt a tha aaamsmo hag baa%paid. !! 1 i 1 �'� Cxf \1 APR 01 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. 363382 Storms, Meagan Terms 4 Invoice Invoice Description Date Number (or note attached invoice(§)or bill(s)) PO# Amount 3/31/15 Reirrib Mileage 12/29//14- 3/31/15 $ 248.64 Total • $ 248.64 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance With I C 5-11-1 O=1.6 . Clerk-Treasurer ; Voucher No. ._ Warrant'No. 363382 Storms; Meagan ) Allowed 20 i, In SUM of$ $ 248.64- ON ACCOUNT OF APPROPRIATION FOR" 108 =ESE i PO#or INVOICE NO: CCT WTITL AMOUNT i Board MembersDepf# ! 1.081-7 Reimb. 4343000 . •..$ 248.64 I 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 j received except April,9,2015 1P J Signature Accounts,_Payable Coordinator. ... Cost distribution Iedge r,classification,if Title claim paid motor vehicle highway fund