HomeMy WebLinkAbout248561 08/12/15 0s CSN
CITY OF CARMEL, INDIANA VENDOR: 367656
d ONE CIVIC SQUARE SAVANNAH VANWHY CHECK AMOUNT: $********71.93*
4
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 248561
'M„o� CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 71.93 TRAVEL FEES & EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOR!!110.101(1986)
MILEAGE CLAIM
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. ` I -3
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,of Jw just credits.
end that no part of
the same has been paid.
Date j —, 1
JUL!
111 ___ 1
I
29 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.
367656 VanWhy, Savannah Terms
1012 W Auman Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/24/15 Reimb Mileage 5/28 - 7/10/15
$ 71.93
Total $ 71.93
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.
367656 VanWhy, Savannah Allowed 20
1012 W Auman Drive
Carmel, IN 46032
In Sum of$
$ 71.93
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1082-11 Reimb 4343000 $ 71.93 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
August 6, 2015
Signature
$ 71.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund