HomeMy WebLinkAbout251169 11/04/15 ♦i�"A f
t CITY OF CARMEL, INDIANA VENDOR: 362732
® ONE CIVIC SQUARE PAMELA LISTER CHECK AMOUNT: $ ....*'47.10"
CARMEL, INDIANA 46032 11598 MANSFIELD PLACE CHECK NUMBER: 251 169
CARMEL IN 46032 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343004 REIMB 47.10 TRAVEL PER DIEMS
uenerat Form No. 101 (1 95s)
oscribed by Stale Board of Accounts MILEAGE C IM _
TO ���D-�F �l1iC� �n .Pt X DR.
Ylovemmenta n m
On Account of Appropriation No. for O r -'' J�l�
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TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
DATE FROM gaK Finish TRAVELED PER MILE a
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Auto License No.
READING columns are to be used only when distance be points cannot be determined by fixed mileage or official e amount y rnap.
SPEEDOMETER READ
ou fcia mad is legally due er
1953, I hereby
* certify that the foregoing account is just and correct,that th 9 Y
Pursuant to the provisions and penalties of Chapter 155,Acts
paid.
allowing all just credits, and that no part of the same has been
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Claim No. Warrant No. I have examined the within claix-n,and
hereby Certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as requi
bylaw;
— That it is based upon statutory author
That It is apparently �correct
incorrect
on Account of Appropriation No..LI—K-6441 for
Disbursing 018car
Allowed ,20
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in the sum of$ o '
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