HomeMy WebLinkAbout259830 06/16/16 �._.s,q+� CITY OF CARMEL, INDIANA VENDOR: 370693
ONE CIVIC SQUARE NADIA ZIMMERMAN CHECK AMOUNT: $********27.54*
�_� CARMEL, INDIANA 46032 4 HENSEL COURT CHECK NUMBER: 259830
''pro �. CARMEL IN 46033 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 061216 27.54 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
Zimmerman, Nadia Allowed 20
4 Hensel Court
Carmel, IN 46033
In Sum of$
$ 27.54
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. kCCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4343000 $ 27.54 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
June 8, 2016
1pkk&w�
Signature
$ 27.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
J
C-5 ORIGINAL JUN `° 6 2016
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.101 1086)
n �, � MILEAGE CLAIM
�+ TO
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD, EPAAn4ExT oR INsnTUI(ON)
gTE FROM TO SPEEDOMETER AUTO MILES E
I�IY/LI READING ( NATURE OF BUSINESS MILES ®� C
POItIT POINT START FINISH TRAVELED PER
MILE
')
AUTO LICENSE NO. TOTALS S�
i J 1
+ 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 just credits,
end that no part of the same has been paid.
Date Z 1-2.,,0