HomeMy WebLinkAbout301930 08/18/16 r Lqq .
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CITY OF CARMEL, INDIANA VENDOR: 371005
ONE CIVIC SQUARE INDU GARG CHECK AMOUNT: $**...***27.04*
4' ?� CARMEL, INDIANA 46032 5818 AQUAMARINE DR CHECK NUMBER: 301930
"M,._...' CARMEL IN 46033 CHECK DATE: 08/18/16
«ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 080116 27.04 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
Allowed 20
Garg, Indu
5818 Aquamarine Dr
Carmel, IN 46033 In Sum of$
$ 27.04
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-12 Reimb 4343000 $ 27.04 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
August 10, 2016
IpAdi'L��
Signature
$ 27.04 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.
Terms
370171 Garg, Indu
5818 Aquamarine Dr
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/1/16 Reimb Mileage 4/18- 7/15/16 $ 27.04
Total $ 27.04
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
�C� �J !
UG 0 5 2 116PRFSCRIRED BT STATE BOARD OF ACCOUNTS
[:A
GENERAL FORM fIC.IQI(1986)
MILEAGE CLAoIM �
((3OVERNMENTAL UNI[) ON ACCOUNT OF APPROPRIATION NO. FOR
(OHICE,BOARD,DEPARTMENT OR INSIINnON) QO !
FROM TO 1 LES D r;E1_
DATE RSA '"� NATURE OF BUSINESS MILES r
Ll <
POINT POINT START FINISH TRAVELED PERS
e rrQ e_
ll 2 6� -5
'511 C1
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7
AUTO LICENSE NO. TOTALS Q 1 Z Lj
+ 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 lega:7��
ll just credits
end that no part of the same has been paid.
Date 1 12 016 /
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