HomeMy WebLinkAbout256694 03/24/16 �,q ` CITY OF CARMEL, INDIANA VENDOR: 358408
ONE CIVIC SQUARE TIFFANY BUCKINGHAM CHECK AMOUNT: $'`••""'144.72'
s. �� CARMEL, INDIANA 46032 5057 E 71 ST STREET CHECK NUMBER: 256694
'�;,i�oN•�o INDIANAPOLIS IN 46205 CHECK DATE: 03/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 032116 144.72 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358408 Buckingham, Tiffany Terms
5057 E 71 st St
Indianapolis, IN 46205
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/9/16 Reimb. Mileage 11/19/15 - 3/9/16 $ 144.72
Total $ 144.72
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
;J, (,
PRESCRIBED BY STATE BOARD OF ACCOUNTS BY:
GENFAAL FOAM 110.101(1986)
I AGE CLAI
ro
(GOVERNMENTAL UNlt)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF.ICE,BOARD.DEPARTMENT OR INSCT—FUT10N)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE TJ j 1 READING I I_..`
POINT POINT START FINISH
!" I NATURE OF BUSINESS TRAVELED
PER MILE
MT
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AUTO LICENSE NO. TOTALSAL
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+ 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,I 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
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Receipt#2000592.003 Page 1 of 1
Monon Community Center East
Vo U,
Building11, 2;01.6 52.4_ 5 PMS'
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- i
Email: info@carmelclayparks.com
Pa
r creation
NATIONAL GOLD.MEDAL WINNER,'
D VILLA BOARMAN,j j
,9nCONCORD,CT I_ A ACCREDITED .
� ---- ,
r.–CA.RMEL, IN.46032
Prepared By: marye
Customer ID: 22046
Primary.phone: (317) 569-0530, Secondary.phone: (260) 849-0547
Refund_Summary
Check: -25�0`O11-6,ck # iM
Total-Received: ($25.00) Total Refund: ($25.00)
Transactions
Customer Description Item Unit Qty`Fee Charge
Dawn Boarman Fairy_Garden Workshop#367043-02 Activity Each 1.00 $25.00:($25.00)
9 Concord Ct. Action: Withdraw Fee ..
Carmel,IN 46032 Withdrawal Date: Mar 11, 2016
Primary phone:(317)569-
0530 Meets: March 21,2016
Email: Monday from 7pm to 8:30pm
dawn.boarman@gmaii.com Location: -
ID:22046 Multipurpose Room East B at Monon Community Center East Building
Total Charges ($25,,00),-
I
$25:00),l Payments_($25.:00)
Balance $0
MAR 15 2016
BY:
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https:Hanprod.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 3/11/2016