252224 12/08/15 �; CITY OF CARMEL, INDIANA VENDOR: 369753
® it ONE CIVIC SQUARE CHRISTIAN AMARO CHECK AMOUNT: $*******'64.98*
�._ �4 CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 252224
9'��IIUN�p� CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 64.98 TRAVEL FEES & EXPENSE
LDEC
�5- 2 2015+ u
PRESCRIBED BY SLATE BOARD OF ACCOUNTS GENERALFOAM NO.101(1986)
MILEAGE CLAIM - --
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DBPAA Mr T OR M9ntur ON)
SPEEDOMETER
DATE FROM TO AUTO MILEAGE
READING
-- POINT POINT START FINISH NATURE OF BUSINESS IMAVVELED 'YZ�
PER MILE
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AUTO LICENSE NO. TOTALS L7
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. TOT/ (L) 1
Pursuant to the provisions and penalties of Chapter 155,Acts 1993,I hereby certify that the foregoing account is just and correct,that the amount claimed is I ga11y due,after all g all just credits
and that no part of the same has been paid. J \
Date 12'.
-1� 7�1 l 1
i—r
pECC - 2 2015
GrxEBAL FORT/110.10)(Ins)
PRESCRIBED H7 STATE BOARD Or ACCOUNTS .
MILEAGE CLAIM H •I � ��r_
C/� �'/� C To
vY — ES (
(OOvrRNw NTALUNm ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE.BOARD.DVARTIUW OR INS1TTUnON)
SPEEDOMETER AUTO MILEAGE
DATE FROM TO READING + ES ® , -75 c
yD S POINT POINT i START FINISH NATURE OF BUSINES6 •TW,RAVELED _
PER MILE
yam tvt
W. lOria g n 5lv Nli�-
-M
W13mC r1lrL. P.ob ,2 1'ro rhn S b.� 0n 'WAACC Chn�11A a �wgrlL ll nnZa C.0ta,oss sMC.' W LC- i Srn3
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AUTO LICENSE NO. TOTALS 7. 3 3, i v
I
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
I
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 a ally due,after alio • g all just credits.-
and
redits.-and that no part of the same has been paid.
Date Z 2 7. 15
i
3 �
I
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
369753 Amaro, Christian
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/3/15 Reimb Mileage 8/3- 9/25/15 $ 64.98
Total $ 64.98
I 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
Amaro, Christian
In Sum of$
$ 64.98
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
INVOICE NO. ACCT#fTITLE AMOUNT
Dept#
1081-11 Reimb 4343000 $ 64.98 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
December 3, 2015
Signature
$ 64.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund