Loading...
HomeMy WebLinkAbout258085 04/29/16 %'.4gq,,f. CITY OF CARMEL, INDIANA VENDOR: 370349 ;: �. CHECK AMOUNT: $********79.92* .;: �� ONE CIVIC SQUARE SHANE BURNHAM s9� �a; CARMEL, INDIANA 46032 11874 SPRINGFIELD COURT CHECK NUMBER: 258085 ,,,«oN� FISHERS IN 46038 CHECK DATE: 04/29/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 041116 79.92 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. ALLOWED 20 SHANE BURNHAM 11874 SPRINGFIELD COURT IN SUM OF$ FISHERS, IN 46038 $79.92 ON ACCOUNT OF APPROPRIATION FOR Engineerinq PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 0 I 43-430.02 I $79.92 1 hereby certify that the attached invoice(s), or 2200 JC)L4 1k I `® 201 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,April 26, 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)) 04/26/16 I 0 I Mileage to Bloomington for INAFSM Training I $79.92 2200 201 1 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 GENERAL FORM NO.101(1955) CLAIM TO — � R(A Y1 ON ACCOUNT OF APPROPRIATED NO. FOR MILEAGE NATURE OF BUSINESS AUTO MILES @ 54.0 cents TRAVELED PER MILE TOTALS :2 ,nileage or official highway map. and correct;that the amount claimed is legally due,after allowing all PRESCRIBED BY STATE BOARD OF ACCOUNTS NHLEA( �V 67-- CCA v-n-� (GOVERNMENTAL UNIT) rte.f i (OFFIC ,BOARD,DEPART ENT OR INSTITUTION) DATE FROM TO ODOMETER READING+ 2016 POINT POINT START FINISH 1 CI Wq G]A r(i )-00 c 6I ct fJ Cit 544q.-e..,m � o D AUTO LICENSE NO. +ODOMETER READING columns are to be used only when distance between points cannot be determined by fii Pursuant to the provisions and penalties of Cha t155,Acts 1953;I hereby certify that the foregoing account is Just redits,and that no part of the same has been paid. Date Y I ,20 [