HomeMy WebLinkAbout257755 04/26/16 ..G,"�. CITY OF CARMEL, INDIANA VENDOR: 367093
` CHECK AMOUNT: $********42.12*
��• ONE CIVIC SQUARE ALYSSA CLARK
:�. _� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 257755
'M,;;oN•�o' CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 042516 42.12 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.
367093 Clark, Alyssa Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/13/16 Reimb Mileage 2/5- 3/23/16 $ 42.12
Total Is 42.12
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
Voucher No. Warrant No.
367093 Clark, Alyssa Allowed 20
In Sum of$
$ 42.12
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. A.CCT#/TITLE AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 42.12 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
i
April 20, 2016
Signature
$ 42.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PWCn1AE0 bY STATC ROAAD OF ACCOUNTS GENERAL FORW 110.101 11051
MILEAGE CLAIM } SSt
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(OFFICE,BOARD.DEPARIOUNr OR INSTMMOM)
FROM TO SPEEDOMETER AUTO
DATE READING + NATUREOF BUSINESB MILES &
POINT POINT START FINISH TRAVE-13 —PER MILE
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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 1953,1 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.
14
Dal. -13-1 kQ .
ECEIVED I
APR 18 2016
BY: