248699 08/26/15 � CAq
"" CITY OF CARMEL, INDIANA VENDOR: 369753
® `i{ ONE CIVIC SQUARE CHRISTIAN AMARO CHECK AMOUNT: $""""""""61.18"
,. CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 248699
'Mr;aH"�� CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 61.18 TRAVEL FEES & EXPENSE
PRCR15 W BY STATE BOARD Or ACCOUNTS �- GENERAL FORM 110.101 ONO
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MILEAGE CLAIM
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C 1ENTAL UNIT
,O VF11N ENTAL i1Nl'n
t ON ACCOUNT OF APPROPRIATION N0. •
-- Ioyacr.HOARD,DEPARTWOR OR INSITTMION)
SPEEDOMETER AUTO MILEAGE
DATEFROM TO READING
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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 o1 Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legall ue,after allowing all j redils.-
and that no part ofthesame has been paid.
Date Alev,
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.
Terms
Amaro, Christian
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/19/15 Reimb Mileage 5/27- 7/31/15 $ 61.18
Total $ 61.18
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.
Amaro, Christian Allowed 20
In Sum of$
$ 61.18
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
Po#or
Dept# INVOICE No. CCT#/TITL AMOUNT Board Members
1082-12 Reimb 4343000 $ 61.18 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 20, 2015
Signature
$ 61.18 Accounts Payable Coordinator
Cost distribution ledger classification if
Title i
claim paid motor vehicle highway fund