HomeMy WebLinkAbout249641 09/23/15 air c�qM
`, CITY OF CARMEL, INDIANA VENDOR: 367093
® =1 ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $""**"49.45'
:. = CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 249641
'M;;o,;�' CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 49.45 TRAVEL FEES & EXPENSE
AUG 2 2015
�t ,• P G"EBu roAu NO.(o)(1986)
pMcAf0E0 BY STAT[BOARD OF ACCOUNTS 5/ _
MILEAGE CLAIM
(aovrANUENrA�U1ln) ON ACCOUNT OF APPROPRIATION NO, FOR
(OFiTCY,BOARD.DE}AAT)rr](T OA 1NST[TIrIION) _--_
SPEEDOMETER AUTO Nt1.16
FROM TO READING 1QVELLES do
d PER
MIL r
DATE NATURE OF BUSINESS TRAVELED PER��
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POINT STAA7 FINISH
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AUTO LICENSE NO-
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
eby certify that the foregoing account is just and correct, that the amount claimed is legally due,after aliowing(all just credits.-
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I her
and that no part of the same has been paid.
Date
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.
367093 Clark, Alyssa Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/18/15 Reimb Mileage 5/1 - 8/18/15 $ 49.45
Total $ 49.45
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.
367093 Clark, Alyssa Allowed 20
In Sum of$
$ 49.45
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#fTITL AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 49.45 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
September 17, 2015
Signature
$ 49.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund