HomeMy WebLinkAbout302440 08/31/16 u' p'° CITY OF CARMEL, INDIANA VENDOR: 367093
J/ tt
j's Qb ti ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $"""'"42,12'
s ?q: CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 302440
`M„o;;�' CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 081516 42.12 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
367093 Clark, Alyssa Allowed 20
10440 N Delaware Street
Indianapolis, IN 46280
In Sum of$
$ 42.12
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 42.12 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 22, 2016
Signature
$ 42.12 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.
367093 Clark, Alyssa Terms
10440 N Delaware Street
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/1'5/16 Reimb Mileage 4/25- 8/12/16 $ 42.12
Total $ 42.12
I 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
120
Clerk-Treasurer
PUSCRIOCO DY STATE BOARD OF ACCOUNTS GENERAL FORM NO.181(1936)
MILEAGE CLAIMUl
T
E
(GOVUHMENTALUM11) ON ACCOUNT OF APPROPRIATION NO. FOR
(bF.1CJ!.110A80.DEPARTMENT 011 INSroUrJOH)
FROM TO SPEEDOMETER AUTO M
READING + NATURE OF BUSINESS MILES VC�T
DATE C
POINT POINT START FINISH TRAVELED PERULt
L4
4 flo (Y'
)4 2-7 MCC•
14 7 C91 u(T
1:5 4GC
EX
,V�Dc- MCC
Rcc
24
F NE
W 0- - —
F
4t
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.
Pursuant to the provisions and penalties of Chapter 155,Acts 1053,1 hereby certify that the foregoing acaount is just and correct,that the amount claimed is legally due,after allowing all just credits
and that no p Ile
it same has been paid,
Date u
V E
AUGI
" UG 18 2016