HomeMy WebLinkAbout300315 07/14/16 !
CITY OF CARMEL, INDIANA VCHECKAMOUNT: $********90.18*
(9,
ONE CIVIC SQUARE AUDREY COOPERCARMEL, INDIANA 46032 C/0PARKS CHECK NUMBER: 300315
CHECK DATE: 07/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 062916 I 90.18 TRAVEL FEES & EXPENSE
I
I
Voucher No. Warrant No.
Allowed 20
Cooper, Audrey
540 Zephyr Way
Westfield, IN 46074 In Sum of$
$ 90.18
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-3 Reimb 4343000 $ 90.18 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
July 7, 2016
Signature
$ 90.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
FBESCRIBED BY STATE BOARD OF ACCOUNTS I( GENERAL FORM NO.101(1086)
MILEAGE CLAIM
TO-
(GOVERNMENTAL
O(GOVERlULENTAL UNIT) w `
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION)
DATE
,, FROM TO RF�ADOOM +ER AUTO E
-4 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED ®-�_ `
PEA MILE
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IAUTO LICENSE NO. TOTALS I '
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 legs due ter allowing all j redits:
and that no pa of the ame has been paid.
Date -���_l
Imo\
JUL 0 7 2016
