HomeMy WebLinkAbout256635 03/18/16 41 u,-C,p�f
CITY OF CARMEL, INDIANA VENDOR: 364386
CHECK AMOUNT: $*'*'***141.12*
ONE CIVIC SQUARE KURT ANDERSON
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK NUMBER: 256635
*,,,oN�• CHECK DATE: 03/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 031716 141.12 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO.
KURT ANDERSON
ALLOWED 20
C/O ENGINEERING IN SUM OF$
$141.12
ON ACCOUNT OF APPROPRIATION FOR
Engineering
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
6517 43-430.02 $7.00 1 hereby certify that the attached invoice(s), or
2200 201
0 43-430.02 $134.12 bill(s) is (are)true and correct and that the
2200 201
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, March 15, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/09/16 6517 Parking-Purdue Road School $7.00
2200 201
03/10/16 0 Mileage-Purdue Road School $134.12
2200 201
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
PRESCRIBED BY STATE BOARD OF ACCOUNTS I
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MILEAG]
04-y o-� cczr�el
(GOVERNMENTAL UNIT)
17 epoch+�-,n e,-,+ o� Urgi,-)ee,/i{rt-3
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(OFFICE,BOARD,DEPARTMENT OR INi ISTITUTION)l
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t
DATE FROM TO ODOMETER
READING+
201 So POINT POINT
START FINISH
07-3 08 Car n0 ovi c s . Pt..ArdLAe Ur,44. ec>12 8o-4LJ .1 Purdue
Pw due 1_Lniv. Car-nneI Civ' C -S9 61310,'2- 61998 '6 Ret�rr
1
03 09 CcLrwmet Civ', C Sq. Pu--dt L�e Urn;1\/. $2101 s 3 23. i Pu�duF
9larCjU'e U-+'kv': Corm e I Civ" c s q• $323.1 8385. 2
AUTO LICENSE NO.
+ODOMETER READING columns are to be used only when distance between points cannot be determined by Rxec
Pursuant to the provisions and penalties of Chapter 155,Acts 1953;1 hereby certify that the foregoing account is ju:
Just credits,and that no part of the same has been paid.
Date 3I%4 hT o ,20
GENERAL FORM NO.101(1955)
MAIM
TO
ON ACCOUNT OF APPROPRIATED NO. FOR
MILEAGE
NATURE OF BUSINESS AUTO MILES @ 54.0 cents
TRAVELED PER MILE
3 5-3
RQCLd
Lockd sr—t-1001 U Z i 3 53
'-Ory-1 POcLck -scvn0ol
TOTALS Z LA 13 '-4 -2—
g
ileage or official high-way map.
nd correct;that the amount claimed is legally due,after allowing all
NDEE
Kurt
Andersen
City of Carmel
l
PURDUE UNIVERSITY GRANT ST
PARKING GARAGE APS 1
i
TRANSPORTATION
Rcpt# 6517 9 ( CONFERENCE
03/09/16 03/09/16 10:5 d#8 In03/09/16 14x50 Out t ; }* y & EXPO
i
Tkt# 019083
0215-FEE"--$ 7.00 I 1gt w t` ®1
{ tgtb
Total Fee $ 7.00
VISA $ 7.00- ��Pd9TATlON GQNF�4�
XXXXXXXXXXXX4550
Approval No. :045014
Reference No. :00000254 -
Change Due $ 0.00
THANK YOU
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