HomeMy WebLinkAbout303909 10/10/16 . CITY OF CARMEL, INDIANA VENDOR: 366239
.�; ;• ONE CIVIC SQUARE MONICA HADDOCK
CHECK AMOUNT: $*******130.68*
s i CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 303909
''"tToa CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 092316 130.68 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
366239 Haddock, Monica Allowed 20
7546 Ivywood Circle
Indianapolis, IN 46250
In Sum of$
$ 130.68
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. A.CCT#/TITLE AMOUNT Board Members
Dept#
1081-2 Reimb 4343000 $ 130.68 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 4, 2016
Signature
$ 130.68 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.
366239 Haddock, Monica Terms
7546 Ivywood Circle
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/23/16 Reimb Mileage 8/2- 9/23/16 $ 130.68
Total $ 130.68
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
3-.,;1 V ED
9, 9 %016
GENERAL FORM 110.101 t190F)
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIMTO
[GOVERNMENTAL UMT1 ON ACCOUNT OF APPROPRIATION NO. FOR
lT�
COMM%BOARD.DEFAA7MENT OR UismunON)
SPEEDOMETER AUTO E E
DATE FROM TO READING + NATURE OF BUSINESS MILES
V'� POINT POINT START FINISH TRAVELED PERS
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MCC k7
1
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MCC
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64 Ito rT
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AUTO LICENSE NO. TOTALS N 3,(,�`�riK1
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway.map. =�K1I, 7
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 e 11, after allowing I all just credits:
?nd that no part`of�lhe saTne has bee paid.
Date
3CH
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