HomeMy WebLinkAbout260014 06/28/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 369753 ;;ONE CIVIC SQUARE CHRISTIAN AMARO CHECKAMOUNT: S 57.62CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 260014
CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIM 57.62 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
Allowed 20
Amaro, Christian
6039 Polonius Court
Indianapolis, IN 46254 In Sum of$
$ 57.62
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 Reimb 4343000 $ 57.62 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 21, 2016
Signature
$ 57.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
IVB. ' ;. .
• I
JUN 16 2016
BY: r
PRESCRIBED BY STATE BOARD OF ACCOUNTS --.4._ GENERAL FORM 110.lot(106)
MILEAGE CLAL!M �r(wl
Cktlh� &h04 &J r'C4k ')1' —1f '�--�(GOVERNMENTAL UYLT) ON ACCOUNT OF APPROPRIATION NO. FOR
toYRI •BOARD.OUJLRTbWff OB INSTITUTION)
FROM TO j SPEEDOMETER AUTO �'
DATE READING NATURE OF BUSINESS MILE$ ® E
2D 1V POST POINT START FINISH TRA'NELED PER _
t6i 104(A W)k �, „�. . n dt.
D w I1A 6 r lti S� 2
fiI WAi o ,.an rz e
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AUTO LICENSE NO. TOTALS ' -{ Zl• L
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot b determined by fixed mileage or offioial 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 LvlVally due,after alio, ing all just credits
and that nog art of the same-has=been paid. ,J
Datej'�a
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F
IVED
6 ,2016
Gn1r11AL FORD 110.101 119667
PHlsCRlareer STATr HOARD OF Accou"n
MILEAGE CLAIM Travel Per Diem 108.1-11-+3+00+
FxtendeJ School enrichment TO
ON ACCOUNT OF APPROPRIATION NO. FOR -
Carmel Clay Fa Vs- and Recreation '
100— ,$GARD.DrlAATMOU OH IHS XWN7
SPEEDOMETER AUTO lu ST
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qq��DATE FROM TO READING NATURE OF BUSINESS ® ti t 6 POINT POINT STAR7 FINISH TRA FLED PER DII�
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AUTO LICENSE NO. TOTALS 3
+ 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 le y due,after allowing all just credits
and that no part of the same has been paid.
Date l
1
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