248694 08/26/1 5 CITY OF CARMEL, INDIANA VENDOR: 369751
ONE CIVIC SQUARE BLAKE ADAMS CHECK AMOUNT: $******"*21.85*
M _ CARMEL, INDIANA 46032 C/O PARKS DEPARTMENT CCHECK HECK NUMBER: 088694
DATE:ON
26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 21.85 TRAVEL FEES & EXPENSE
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* SPMOM>sM RRAMQ oolmmna ars to be used only whom distance between pointe cannot he determined by fixed milea�te or official highway map.
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Pursuant to the pcovlsfs and penalties of Chapter 159,Acte 1693,1 hereby certify that the foregoing account to fust and correct.that the=Mnt claimed to legally due,after 0-i w all fust am":
d.
Dataend no path / has
AUG 19 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
Adams, Blake
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/6/15 Reimb Mileage 3/5 - 5/29/15 $ 21.85
Total $ 21.85
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.
Allowed 20
Adams, Blake
In Sum of$
$ 21.85
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
Po#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1082-13 Reimb 4343000 $ 21.85 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
-r&k&ml,�Lo
Signature
$ 21.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund