HomeMy WebLinkAbout305456 11/28/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 369557 ;RR;RRRRONE CIVIC SQUARE AIMEE RICH CHECKAMOUNT: $ 62.91CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 305456
INDIANAPOLIS IN 46237 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 62.91 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
Allowed 20
369557 Rich, Aimee
8821 Navigator Dr
Indianapolis, IN 46237 In Sum of$
$ 62.91
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 62.91 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
November 15, 2016
signature
$ 62.91 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Y
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.101(1886) L
MILEAGE CLAIM )b
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vn1NMElrru 01 ON ACCOUNT OF APPROPRIATION NO. FOR rn C-e s`
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(OFFICE,BOARD,DEPA HT r OR 1NsrLnFCuN1
DATE- FROM TO SPEEDOMETER AUTO MILF,
1u READING + NATURE OF BUSINESS MILES Cd ♦ 61 C
POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS Qt ✓
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 1
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 legally due,after allowing all just credits:
end that no part of the same has been paid.
Date CD Z�)L1L L2 - -
NOV 10 2016