HomeMy WebLinkAbout260027 06/28/16 1��f C5\f
CITY OF CARMEL, INDIANA VENDOR: 366708
`;® 4; ONE CIVIC SQUARE JOSEPH CASTILLO CHECK AMOUNT: S'"•"'"'64.48•
9 a� CARMEL, INDIANA 46032 C/o ESE CHECK NUMBER: 260027
a,,roN�. CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 REIM 64.48 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
366708 Castillo, Joseph Allowed 20
9485 W Constellation Dr
Pendleton, IN 46064
In Sum of$
$ 64.48
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-10 Reimb 4343000 $ 64.48 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 22, 2016
1P -
Signature
$ 64.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
GENERAL FORM 110.101(1986)
pWCR19CD BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
TO
[GOVERNMENTAL muT) ON ACCOUNT OF APPROPRIATION NO. FOR
I5Fi7Ce,D-11M.MIM—OR 1NSRnTrNON1 .
SPEEDOMETER AUTO IIILEA('
FROM TO READING + MILES a
DATE NATURE OF BUSINESB TRAVELED PER MILE
POINT POINT START FINISH Li 3
v� X , 2_ `-13
5 240 C _S T-
-3. 8, o.
t, 14 d c IL IC 3. P,
S Z tr O i Jqj, M' w G:C 1C E 57-
Le
Le — S'• AS, Z
c.c lc 2 cs
S 2C b TC K
y. S- y3 -
AA
q , g Z N 3
s 3 l _ M L e- y.g z 43
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1-4
AA �' - C,2 Lr-- r
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TOTAL9
AUTO LICENSE NO.
+ SPEEDOMETER READING oolurans are to be used only when-distance belween 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 legal d tier allowing all ' sl cre its
and that no part of the same has been paid.
Date
ED
JUN 2.2 2616
BY: