HomeMy WebLinkAbout253017 1/11/16 CITY OF CARMEL, INDIANA VENDOR: 367093
ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $********43.13*
r
=q CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 253017
Miro--•�• CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 43.13 TRAVEL FEES & EXPENSE
Voucher-No. Warrant No.________
367093 C lark,Alyssa Allowed 20
ONACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT f, Board Members
Dept#
1081-4 Reimb 4343000 $ 43.13
\ hereby certify that the attached immice(s). or
bi||(o)io(mre)true and correct and that the
mat eha|aurservices itemized thereon for
which charge ismade were ordered and
received except
}
December 28 2015
Signature
43.13 1 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund |
\
' |
' )
.
`
>
�
|
/
V]
DEC 21 5
P"SCIUM M Vy STATC HOAAD OF ACCOU
r"118AL 10,11,116.10,11"
MILEAGE CLAI ' -4
ESE TO. "A pn'r
ON ACCOUNT OF APPROPRIATION NO. FOR
'.'rlux,uumiu.v"AR-nmir an msnruriom)
DATE FROM TO !f-P—EEDOMETER
READNG + AUTO UILEAGE
POINTNATURE OF BUSINESS WLES a
POINT START FINISH THAVELED 0,!S-7,< I
PER MILE
t-4 C
I
wI to Cr('
.C,
It me C,
1 i2 CC
itJ3:3
C
7 0
2011
'LIS MCC
—QC
t4
t -ZA2- WE M CC,
1-Z e Cc,
cz 1 E MCC
AUTO LICENSE NO- TOTALS44 3U3 .
+ 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 1135,Acts 1953,1 hereby certify that The foregoing account 1.9 just and correct, that the amount claimed is leg11 due,after allowing all just cre ,-
-dils
and that no part of the same has been paid, illy
Date