HomeMy WebLinkAbout302397 08/25/16 4/d CAA�Tf!
CITY OF CARMEL, INDIANA VENDOR: 369557
ONE CIVIC SQUARE AIMEE RICH CHECK AMOUNT: $**"""42.88*
CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 302397
sM(,_ INDI�ANAPOLIS IN 46237 CHECK DATE: 08/25/16
t ITON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 080116 42.88 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
Allowed 20
369557 Rich, Aimee
8821 Navigator Dr
Indianapolis, IN 46237 In Sum of$
$ 42.88
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 42.88 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 17, 2016
Signature
$ 42.88 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
369557 Rich, Aimee
8821 Navigator Dr
Indianapolis, IN 46237
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/1/16 Reimb Mileage 7/5- 7/29/16 $ 42.88
Total $ 42.88
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
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GMWAL FORM NO.101 1196)
MILEAGE CLA�IM�rQVQ`
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sy A t Clau �Q�T`S (�hC a�P(�(QQ�'(� ON ACCOUNT OF APPROPRIATION NO. FOR
�.I {]`Std (OFF10E,BOARD,DEPARnIENT OR INSSITVIIOA'J
DATE FROM TO SPEEDOMETER
READING + AUTO MILEAGE
za POINTPOINT START FINISH NATURE OF BUSINESS 1 WLRAVE ® •�j 4 4
LED PER MILE
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AUTO LICENSE NO. TOTALS -!
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. t bV V
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 ,of er allow' all j credits,
end that no part of the same has been paid.
DateI i Q
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