Loading...
HomeMy WebLinkAbout301303 07/28/16 i t_Coq"'- '' CITY OF CARMEL, INDIANA VENDOR: 369557 ® '�I ONE CIVIC SQUARE AIMEE RICH CHECK AMOUNT: $********74.63* r° CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 301303 �'fiue i� INDIANAPOLIS IN 46237 CHECK DATE: 07/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 070616 74.63 TRAVEL FEES & EXPENSE I I l Voucher No. Warrant No. Allowed 20 369557 Rich, Aimee 4907 Sunview Circle# 1222 Indianapolis, IN 46237 In Sum of$ $ 74.63 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#rrITLE AMOUNT Board Members Dept# 1081-99 Reimb 4343000 $ 74.63 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 s-made-were-ordered-and- --- - received except July 20, 2016 'PAN"VK1A-) Signature $ 74.63 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund IRECEITED I JUL 13 2016 PRESCRIBED BY STATE BOARD OF ACCOUNTS - ' GENBRAL FORM NO.101(1006) MILEAGE CL TO AM �' �93� �1 —�. �1 �Gy�p (Gov NMF]tIAL t r 1 tk cta U �QY S n �Q,n f t�j•,a,�y� ON ACCOUNT OF APPROPRIATION NO. �lJ` (DYFtcE,BOARD,DEPARTMENE OR IN3mUT1ON) •►C.` u_ �v�l DATE FROM TO SPEEDOMETER READING + AUTO MILEAGE NATURE OF BUSINESS MILES @ .54 a POIA'1 POINT START FINISH TRAVELED PER MILE ti %- 6 W -ri 6 5 l0 i r- tl l tot �V Gkb •5 0 t .N' 4 3 — Ct0 '7: �Cl 59 UP to CAV-PAIA lC "U— q 14 r �. t 07 l i5• 6 _ u I tf- -7 Le 2U I WMAI i L '--7 o� AUTO LICENSE NO. TOTALS 1 .1 L� LQ 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 1 By due,after allowing i credits.- end that no part of the same has been paid. Date rte_. �I q 0-7 43un ul etA� Ci v C l t In:7 t l r)60s ZtJ 4 C0�-3-7