HomeMy WebLinkAbout258799 05/26/16 (9CITY OF CARMEL, INDIANA VENDOR: 370641
ONE CIVIC SQUARE ALIYAH BEBLEY CHECK AMOUNT: $********26.09*
CARMEL, INDIANA 46032 5720 W 41ST PLACE CHECK NUMBER: 258799
, INDIANAPOLIS IN 46254 CHECK DATE: 05/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 051616 26.09 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
Allowed 20
Bebley, Aliyah
In Sum of$
$ 26.09
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-10 Reiff*— 4343000 $ 26.09 1 hereby certify that the attached invoice(s), or
051 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
May 19, 2016
1PAW"VX&v
Signature
$ 26.09 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY[]FCARMEL
Aminvoice ofbill tobeproperly itemized must show; kind ofservice, where performed, dates service rendered, by
whom rates per day, numbercfhours, rate per hour,
Payee
Purchase Order No.
Terms
Beb|ey. /\|iya.
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/16/16 Reimb Mileage 11/16/15-2/29/16 $ 26.09
Tota 26.09
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with|C541-104.6
. _-__'
Clerk-Treasurer
_
r
CF111 is .A vI-t..F
�(�(e MAY 16 2096
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM No.10)(1986)
MILEAGE CLAIM W�
TO
(GOVERNMENTAL M11T)
• ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTMENT OR iNsimmoN)
DATE FROM TO — SPEEDOMETER AUTO mmgAGE
— READING { NATUREOF'BUSINESS MILES @ p
POINT POINT START FINISH TRAVELED PER
MIft
2 e El
1 I ►d 6 ---
I + Ij
l
1 a 6 srt t
S
tz 2 4 d6
I Z a S _ o. UA _
rmkI _ Lit
1 6 -t G
r
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 allowing all •ust cre its
and that no part of the same has been paid.
Date
-23�) 01-4