HomeMy WebLinkAbout256806 03/29/16 �y �4q''° CITY OF CARMEL, INDIANA VENDOR: 362732
/ ONE CIVIC SQUARE PAMELA LISTER CHECK AMOUNT: $********79.76*
0 11598 MANSFIELD PLACE CHECK NUMBER: 256806
:. ,� CARMEL, INDIANA 46032
,,yeTo;, � CARMEL IN 46032 CHECK DATE: 03/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343004 032916 79.76 TRAVEL PER DIEMS
Claim No. Warx(nnt Na, 1 have examined the within alarm and,
hereby certify as follows:
i IN FAVOR OF
_'That.it is in proper form.
it is duly authenticated us requi:
++ That it is based upon statutory author
ect
� � I That it is appmently ianco ect
li on Account of Appropiiatfon Nd, •#or.'_
Disbursing Oft
_. Allowed ,2Q_
in the sum of
Mard or Commisslon)
FILED
WS.
i
(011lckd Tule)
s f ,
bscrlbed by State Board of Accounts
MILEAGE CLAIM
'Yl ✓
(Governmental unit) TO = J
ce, oa epa ent or ns toHon) lie
On Account of Appropriatl
DATE FROM TO'
ODOMETER READING* NATURE OF
Stan BUSINESS
20f Point Point rt Finish
a TR
ell
16 LA-
v" Vt vt —T-
-14-1-
3 `1 y, Gt T
tk
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i
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•
Auto!cense No.
TOTALS
*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 955,Acts 9953;1 hereby certify that the foregoing account isjust and correct,that the amount cial
allowing all just credits, and that no part of the same has been paid. gagy due atter
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