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248236 08/12/15 (9, CITY OF CARMEL, INDIANA VENDOR: 369730 ONE CIVIC SQUARE ALISON BARBER CHECKAMOUNT: $********73.89* CARMEL, INDIANA 46032 C/O PARKS DEPARTMENT CHECK NUMBER: 248236 CHECK DATE: 08/12/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1062 4343000 73.89 TRAVEL FEES & EXPENSE PRPSCRIEED BY STATE HOARD OF ACCOU915 j� GENFAAL FOAM 110.101 Was) MILEAGE CLAIM ro (GOVFANMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (On.M BOARD.DEPARTMEKT OR INSTITUTION) FROM TO SPEEDOMETER AUTO WUAGE D FATTY READING + NATURE OF BUSINESS MITES ® f L POINT POINT START FINISH TRAitELED PER MILE I 1V1 CC-- -- t�.�9S'3 21 t:i� �Cf. Y 1C .LSE .; 10 ' v zfo. 91;d % (to - (,, 1 15 v� ,�. I wt t 11-7? : (1 aidi n C I I all C.. 5. _ 15- PoS �21 . z -J mT aKcc X\X1 wlei Is L t C1 liz- _-5/A UILdr r ,y- l21 .0o- l Zit v2 f (o � 21 'i 1S- nor_ 12.i X47 117 35� bt't 19 0Zcj I V L�0 1 10J-73id.3 foot °i � ry oto 3 �c t (%A 7 7i�f (o ?l7P 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 igaily due,after allowing all just credits, rnd that no 4 o tl<art thb eam�s been paid. � rtl1 1 Date oq b JUL 2 9 2015 N 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. Terms Barber, Alison Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/20/15 Reimb Mileage $ 73.89 Total $ 73.89 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 5-11-10-1.6 120 Clerk-Treasurer i Voucher No. Warrant No. Allowed 20 Barber, Alison In Sum of$ $ 73.89 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1082-14 Reimb 4343000 $ 73.89 1 hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the imaterials or services itemized thereon for which charge is made were ordered and received except i August 6, 2015 Signature $ 73.89 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I\