HomeMy WebLinkAbout260440 07/07/16 / CITY OF CARMEL, INDIANA VENDOR: T357033
® ONE CIVIC SQUARE SHARON KIBBE CHECK AMOUNT: $********17.28*
?; CARMEL, INDIANA 46032 827 WINTER CT CHECK NUMBER: 260440
9''��TON�, CARMEL IN 46032 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343004 062816 17.28 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
SHARON KIBBE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
827 WINTER CT IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$17.28 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
MILEAGE CLAIM 43-430.04 $17.28 1 hereby certify that the attached invoice(s),or 6/28/16 MILEAGE CLAIM $17.28
1160 � 101 1160 101
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
Wednesday,June 29,2016
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Prescribed by State Board of Accounts
MILE,
CAM COLIML
(Governmental Unit)
Y`c�uuoY`S 0�����
(Office,Board,Department or Institution)
DATE FROM TO ODI
20LCP Point Point
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Auto License No.
*SPEEDOMETER READING columns are to be used only when distance between points cannot be de
Pursuant to the provisions and penalties of Chapter 155,Acts 1953, 1 hereby certify that the foregoing a
allowing all just credits, and that no part of the same has been paid.
Date b-2 —1U