HomeMy WebLinkAbout257757 04/26/16 a°%��pM
v'! °� CITY OF CARMEL, INDIANA VENDOR: 370120
® ONE CIVIC SQUARE AUDREY COOPER CHECK AMOUNT: S*****"*104.70*
s. ?� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 257757
"M;roN�` CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 042516 104.70 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.
Terms
370120 Cooper, Audrey
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/31/16 Reimb Mileage 12/4/15 - 3/22/16 $ 104.70
Total $ 104.70
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.
Allowed 20
Cooper, Audrey
In Sum of$
$ 104.70
i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT I Board Members
Dept#
1081-3 Reimb 4343000 $ 104.70 1 hereby certify that the attached invoice(s), or
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
April 20, 2016
Signature
$ 104.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
GENERAL FOAM 110.IM 119867
PRESCRIBED BY STATE HOARD OF ACCOUN35 '
MILEAGE CLAIM
(GOVERNMENTAL UNM ON ACCOUNT OF APPROPRIATION NO- FOR
(OF.-ICE,HOARD,DEPARTMENT OR INSrnWION)
SPEEDOMETER AUTO MILEAG rr�Ua
DAT l FROM To READING + NATURE OF BUSINESS MII ES �$ �Ar-
2D�1�4' POINT POINT START FINISH TRAVELED PER MILE Q
111(
1 O m
G L ►+) .(o
v N 5.75
UA T).,, J
Pie— i-
c �.v 1,
_. Cl
1 i m'
it
"Wev?.
fl vle, till
i
WAZ
q Ell I UN
Jr
-- ✓
fM1
AUTO LICENSE 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 155,Acts 1953,I hereby certify that the foregoing account is just and-correct,that the amount claimed is legally due,after alio q all just credits
and that no part of he same has been paid.
Date I
RE y F:D
APR 1 � 2Q16
��1 u BY: