HomeMy WebLinkAbout256800 03/29/16 �/ t� CITY OF CARMEL, INDIANA VENDOR: 366239
ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: $*******163.62*
=a; CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 256800
'a,;TON CHECK DATE: 03/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 032816 163.62 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.
366239 Haddock, Monica Terms
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s)or bill(s))
3/18/16 - Reimb Mileage 1/14-3/18/16 $ 163.62
Total $ 1163.62
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
Voucher No. Warrant No.
366239 Haddock, Monica Allowed 20
d.
�In Sum of$
I
i
$ 163.62
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1081-2 Reimb 4343000 $ 163.62 II hereby certify that the attached invoice(s), or
P111(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
f
I
March 22, 2016
Signature
$ 163.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
_RE#=
' MAR 2 12016 i
B•*r•
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM 110.101(1986)
MILEAGE CLAIM
TO—
WL-t'mac, TO
t^v WM rALnNM ON ACCOUNT OF APPROPRIATION NO. FOR
(OF,ICE,BOARD,D 7YLl(T OR 1Nsraunos)
SPEEDOMETER AUTO
DATE FROM READING .} MILES ®� c
NATURE OF BUSINES6 L
2� POINT POINT START FINISH TRAVELED PER MILE
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1 -
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2 00
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OC 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 155,Acts 1853,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all just credits.
end that��ii-Ort pof the same has been paid.
Date