252434 1 2/08/1 5 CITY OF CARMEL, INDIANA VENDOR: 360074
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® _ ONE CIVIC SQUARE SUE WOLFGANG CHECK AMOUNT: S""""`78.20'
r. b° CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK NUMBER: 252434
V,M`TON, ` ONE CIVIC SO CHECK DATE: 12/08/15
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4343002 120715 78.20 EXTERNAL TRAINING TRA
S •
Frescdbed by State Board of Accounts General Form No.101(1955)
MILEAGE CLAIM
TOI�ISC DR.
(Governme Unit) J /
sou�� ;� On Account of Appropriation No. ---far-------
(Office,Board,Liep8nment or Institution)
DATE FROM TO J
ODOMETER:READING` NATURE OF BUSINESS AUTO MILES MILEAGE
20/5 Point Point Start - Finish TRAVELED I PER MILE
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Auto License No. TOTALS
*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 1953,1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after
allowing all just credits,and that no part of the same has been paid.
Date
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
12/07/15 I 12.07.15 I I $78.20
1201 101
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.
SUE WOLFGANG ALLOWED 20
C/O HUMAN RESOURCES IN SUM OF $
ONE CIVIC SQ
CARMEL, IN 46032
$78.20
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Members
12.07.15 43-430.02 $78.20 1 hereby certify that the attached invoice(s), or
1201 I 101
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
Monday, December 07, 2015
Cost distribution ledger classification if
claim paid motor vehicle highway fund