HomeMy WebLinkAbout255605 02/26/16 q/ \ CITY OF CARMEL, INDIANA VENDOR: 359065
ONE CIVIC SQUARE BOB HIGGINS CHECK AMOUNT: $********60.48*
s ?�: CARMEL, INDIANA 46032 1895 WEST 211TH CHECK NUMBER: 255605
SHERIDAN IN 46069 CHECK DATE: 02/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343004 022316 60.48 TRAVEL PER DIEMS
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General Form No,101 (1955)
MILEAGE CLAIM
TO , ��� " ���� DR.
(Governmental unit)
On Account of Appropriation No. 3G fori/
i,Board,Department or Institution
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IM TO ODOMETER READING* NATURE OF BUSINESS ( AUTO MILES MILEAGE @ S`
it Point Start Finish , TRAVELED PER MILE
G — f 3
1
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ise No. TOTALS
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s are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
les of Chapter 155,Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
art of the same has been paid.
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Claim No. Warrant No, ( I have
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IN FAVOR OF
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On Account of Appropriation No. for
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(Board or Commission)
FILED
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