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HomeMy WebLinkAbout304213 10/13/16 04a W C�q�f CITY OF CARMEL, INDIANA VENDOR: 369557 �?/ I ONE CIVIC SQUARE AIMEE RICH CHECK AMOUNT: $********84.29* :. =a CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 304213 9.y�TON INDIANAPOLIS IN 46237 CHECK DATE: 10/13/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 100316 84.29 TRAVEL FEES & EXPENSE Voucher No. Warrant No. Allowed 20 369557 Rich, Aimee 8821 Navigator Dr Indianapolis, IN 46237 In Sum of$ $ - 84.29 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 Reimb 4343000 $ 84.29 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 October 7, 2016 L Signature c $ 84.29 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 10/3/16 Reimb Mileage 9/6 - 9/29/16 $ 84.29 Total $ 84.29 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 GENERAL FORM NO.101(INN) MILEAGE� CLAIM?rQVQ.` �2r 1�1Q,� 1(�c�.t•,(,�0� _�?JU�O�b�e C1�hol stn c'icli(Yfnt 1 V (GovERNMENTu UN1T) ON ACCOUNT OF APPROPRIATION NO. FOA `` f?-L` Crxrmtl Glnu TAhhS h hdl 'fq�r�Pcg i nyl -- (OFFICE,DOAK DEPARTMENT'Oki alanTmIuN) FROM TO SPEEDOMETER D'A'TES READING + AUTO MILEAGE 20 POINT POINT START FINISH NATURE OF BUSINESS TRAVELS @_ .VD4 0 PER Max LC M ` 'f{f7C\ WT O .� 1 1 rAin i to l Cl is —rm ci 4 l : '7 L a' .3 '¢+ to I PT 141`1- .tel �9 t t n �. 53 IfIA- t Lo• lD CStJ -I.La I L4 10 IlaU. 7� X51 te• U Cl LCI I Wti 'S L4 10 a 1 t 6[t 40- 1 MCI_ in(NS I -i-Le U to tl W -7. t0 Off 11 °� a U AUTO LICENSE NO. TOTALS {�_• 1 RLq + SPEEDOMETER READING Columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. I 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 ally due,after aIIow' all fust credits. end that no part of the same has b-eeend paid. Date RIECET 1 OCT 07 2016 i BY: I boot 1Javi CO -ems .D�, -T-CtidIP15 'D� 4&,V)-7