HomeMy WebLinkAbout303094 09/15/16 y��_C!IAb
�/ �F. CITY OF CARMEL, INDIANA VENDOR: 358411
.?; { ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $*******209.52*
,�; CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE CHECK NUMBER: 303094
=9M`,- --u, INDIANAPOLIS IN 46220 CHECK DATE: 09/15/16
«ox�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 083016 209.52 TRAVEL FEES & EXPENSE
i
Voucher No. Warrant No.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of$
$ 209.52
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE-
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-10 Reimb. 4343000 $ 209.52 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
September 8, 2016
Signature
$ 209.52 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/30/16 Reimb. Mileage 1/5- 3/22/16 $ 209.52
Total $ 209.52
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
Sof ~
�
GENERAL FOAM tt0.1pl(105)PRESCRISED BY STATE BOARD OF ACCOUNTS v �
�
MILEAGE CLA„IMQ rl0011a'n,
(GOVERNNENTAL U111T) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,HOARD,DEPARTMENT'OR INSTLTUTION)
SPEEDOMETER AUTO 2dILG
DATE FROM TO READING ( NATURE OF BUSINESS LE (B7 ` t
Zd POINT POINT START FINISH PER MU
_ _1 Vr!G, Vcirca i�.rnon
! LA
f o owv.- tD
c�
Ca
U
10 SO
c:.
� I g
- IN C
G Ip O
1 (ss
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 1953,1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all jus dits
end that no.paq o£�tthe s 9 has een paid.
_ _
1.
x � t