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HomeMy WebLinkAbout301937 08/18/16 CITY OF CARMEL, INDIANA VENDOR: 366239
I d ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: $********68.58*
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 301937
CHECK DATE: 08/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 080116 68.58 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
366239 Haddock, Monica Allowed 20
7546 Ivywood Circle
Indianapolis, IN 46250
In Sum of$
$ 68.58
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1082-4 Reimb 4343000 $ 68.58 1 hereby certify that the attached invoice(s), or
j 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
August 10, 2016
Signature
$ 68.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number-of units, price per unit, etc.
Payee
Purchase Order No.
366239 Haddock, Monica Terms
7546 Ivywood Circle
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/1/16 Reimb Mileage 6/10- 7/29/16 $ 68.58
Total $ 68.58
1 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
20_
Clerk-Treasurer
EAUG 0:6 2016
PRESCRIBED BY STATE BOARD OF ACCOXIM GENERAL FORM NO.101(1886)
MILEAGE CLAIM
C-
7J'WVEANMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
C 5�.
(OFFICE,BOARD,DEPARTMENT OR INBIn'ITT ON)
D T FROM TO SPEEDOMETER AUTO MILEAGE
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED C� a
PEA
lD lYl I IAN
C
-7
MCb 11 LOWe IS 'to,
M
L
eC- -----_0 i - - -
y n
AUTO LICENSE NO. TOTALS 2
+ 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 legally due,afteraliowinq all just credits.
end that art g1 the same has been paid. �rJl
Date 11 hI Sr
t