HomeMy WebLinkAbout302499 08/31/16 V`"p'' CITY OF CARMEL, INDIANA VENDOR: 371045
® ONE CIVIC SQUARE JAMIE STRONG CHECK AMOUNT: $********44.55*
f aa' CARMEL, INDIANA 46032 1011 OSWEGO RD CHECK NUMBER: 302499
9,,,«oN�� CARMEL IN 46032 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 072916 44.55 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
Strong, Jamie Allowed 20____
1O11Oswego RU
Carmel, IN 48032
5
QNACCOUNT OFAPPROPRIATION FOR
i08 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1082-12 Reimb- 4343000 $ 44.55 | hereby certify that the attached /nvoice(o). ur
to bU/(u) ia(ana)true and correct and that the
materials nrservices itemized thereon for
which charge iomade were ordered and
received except
August 22 2016
Signature
Accounts Pab|oCoondinator
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.
Strong, Jamie Terms
1011 Oswego Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
7/29/16 Reimb Mileage 5/4- 7/29/16 $ 44.55
Total $ 44.55
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
iv� r os o (L ,
CAVLA— t ti! �cpb3Z
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM 110 10)(1985)
MILEAGE CLAIM /{
��� TO_
(GOVERNMENTAL UNIT) -
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARndENT OR INSTITUTION)
FROM TO SPEEDOMETER
DAT AUTO M
_ i READING .(•
'Lo - -- NATURE OF BUSINESS MILES �g
POINT POINT START FINISH TRAVELED pER M)L
_ z
"f-O O rye ts• .__..... - - -D V)� �n d ~b c�cA e Q• ,2_
AUTO LICENSE NO. TOTALS `cS 4�'s SS
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fired 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 le ue,after allowing all just cr dits
and that no part of the same has been paid.
�
Date— / -1��1 _--�— aAAAJ
1 " AUS 18 te-U16
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