HomeMy WebLinkAbout300811 07/21/16 +ur.c�,yM
CITY OF CARMEL, INDIANA VENDOR: 358408
`'/ \l CHECK AMOUNT: $*******160.92*
.� ® ,•: ONE CIVIC SQUARE TIFFANY BUCKINGHAM
s, _� CARMEL, INDIANA 46032 5057 E 71ST STREET CHECK NUMBER: 300811
9,;��TON/�: INDIANAPOLIS IN 46205 CHECK DATE: 07/21116
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 070616 160.92 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
358408 Buckingham, Tiffany Allowed 20
5057 E 71 st St
Indianapolis, IN 46205
In Sum of$
$ 160.92
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept# Board Members
1081-2 Reimb. 4343000 $ 160.92 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 12, 2016
Signature
$ 160.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
eS
Extended School Enrichment
1'^ 1:a���0�•,�) n( (��ZZ� 1235 Central Park Drive East
VUAA Iv Carmel,Indiana 46032
GENERAL FOAM NO,101(1986)
PRLSCRIBW BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM ` t/1G� (:d)n/1
-FCkCk.S 2�C ' 1
(GOVERNMENTAL� ` ON ACCOUNT OF APPROPRIATION NO. FOR
(OF.-ICE,BOARD,DEPARTMENT OR 1NSnTVTION)
SPEEDOMETER AUTO MILEAGE
Dg1 E FROM TO READING + NATURE OF BUSINESS MILES 0 ✓5 y C
z� 1 POINT POINT START FINISH TRAVELEDPER MILE
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AUTO LICENSE NO. TOTALS 2q v
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+ 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 1;3yup,after allowing all just credits,
end that no part of the same has been paid. C /l r
Date 'I`10--I l� —IX
CEIVED
JUL 0' 8 2016
BY: