HomeMy WebLinkAbout251495 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 367093
tr
ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $********41.40-
CARMEL,
1.40*CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 251495
CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 41.40 TRAVEL FEES & EXPENSE
NOV - 2 2015
BY:
GENERAL FORT!110.101(1986)
PRI-SCRIBED BY STATE HOA ND Of ACCOUNTS
MILEAGE CLAIM
J TO '
(GOVEHNNENTAL UNITI ON ACCOUNT OF APPROPRIATION NO. FOR
(Oi7CP,HOAPD,DE�ART147fr Ofl 7N5[RUIION)
---- SPEEDOMETER AUTO j�fi-1?AGE
DATE FROM TO READING + TRAVELED a `
NATURE OF BUSINESS
POINT POINT START FINISH PER MILEH cc
,
cc
—�-
10 C
— cc —
to (Ia
--1-0— .2
ID
prj
_
Z� C
2Z to, z3 C ---
lo z E _-
2 _ CC
C TOTALS
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.
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,after allowing all just credits
a
and that no pert the same has been paid.
DatejC))
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
10/30/15 Reimb Mileage 9/29- 10/30/15 $ 41.40
Total $ 41.40
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
120
Clerk-Treasurer
Voucher No. Warrant No.
367093 Clark, Alyssa Allowed
20
In Sum of$
$ 41.40
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or
Dept# INVOICE NO. CCT#/TITL AMOUNT Board Members
1081-4 Reimb 4343000 $ 41.40 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
November 3, 2015
Signature
$ 41.40 Accounts Payable Coordinator
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund