HomeMy WebLinkAbout255410 02/12/16 y u_G�gy
CITY OF CARMEL, INDIANA VENDOR: 366267
ONE CIVIC SQUARE ASHLEY ULBRICHT CHECK AMOUNT: $********90.72*
=4 CARMEL, INDIANA 46032 433 AUTUMN DRIVE CHECK NUMBER: 255410
tMirori�°' CARMEL IN 46032 CHECK DATE: 02/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION,
1180 4343004 021116 90.72 TRAVEL PER DIEMS
�r i General Form No.701(1955)
MILEAGE
idiana
j' TO V V1 C -� DR.
Governmental Unit)-
--- 1180 On Account of Appropriation No. 434-3004 for Mileage
ar ,Department or Institution) l:
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TO ODOMETER READING* NATURE OF BUSINESS@
Point Start Finish AUTO MILES MILEAGE �
TRAVELED PER MILE
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to be used only when.distance between points cannot be determined by'-fixed mileage or official highway map. }
f Chapter 155,Acts 1953, 1 hereby certify that the foregoing account is ju�t and correct, that the amount claimed is legally due, aftl r
the same has been paid.
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No. Warrant No. I have examir
�,qcxlm. hereby certify
IN FAVOR OF
That it is ir.
' I , l,, That it is d
502 �� b rI U + by law'
That it is b
q$
-7a i That it is a
Cn Account of Appropriation No.4343004 for
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!: Department of 'Law - 1 180
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'Allowed ,20
in the sum of$
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(Board of Coirunission) r
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(Official Title)
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