HomeMy WebLinkAbout259924 06/24/16 0CHEC;Y �K CITY OF CARMEL, INDIANA VENDOR: 366239
j; ® `j ONE CIVIC SQUARE MONICA HADDOCK
K AMOUNT: S ******136.62*
$: as_ . CARMEL, INDIANA 46032 C/o ESE CHECK NUMBER: 259924
"M.,To CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 060716 136.62 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
366239 Haddock, Monica Allowed 20
7546 Ivywood Circle
Indianapolis, IN 46250
In Sum of$
$ 136.62
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-2 Reimb 4343000 $ 136.62 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 16, 2016
AAN
Signature
$ 136.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
JUN 15 2016
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM 110.101 11986)
MILEAGE CLAIM
TO—
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G
oy.R 11MIAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OF,TC DEPARTW:EHT OR)NSrn=ION)
FROM TO SPEEDOMETER AUTO TA!ZL-i
Z Dili E MILES (¢E"1_
Q�I^ A t NATURE OF BUSINESS TRAVELED �
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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. els
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.
rnd tha+t�_lo -a�rl-0 the-same-has been paid.