HomeMy WebLinkAbout305752 12/07/16 (9, )
CITY OF CARMEL, INDIANA VENDOR: 369753
ONE CIVIC SQUARE CHRISTIAN AMARO CHECK AMOUNT: $********70.78*
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 305752
CHECK DATE: 12/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 70.78 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
Allowed 20
Amaro, Christian
6039 Polonius Court
Indianapolis, IN 46254 In Sum of$
$ 70.78
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-11 Reimb 4343000 $ 70.78 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 23, 2016
acju o D I'YLVY1�i��
Signature
$ 70,78 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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Id.U 2-51
FRr5CMIED BY STATL BOARD OF ACCOUNTS MUMAL FORD NG IN 119M
yJ MILEAGE CLAIM
TO 04e,'504e,'5i lq�
C�`
(GOVERNMENTAL UNTn ON ACCOUNT OF APPROPRIATION NO. FOR
F;Sti
LOMCE.BOARD.DEM MCW OR MSUM10N)
FROM TO E READINSPEEDOMETER
AUTO AULEAGE
DATE NATURE OF BUSINESS TRAVELED 1.130 44:�
POINT POINT START FINISH PIM bm
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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. �Q T-A;L = ,
Pursuant to the provisions and penalties of Chapter 185,Acts 1953,I hereby certify that the foregoing account to lust and correct.that the amount claimed f ally due,aft& allowing all Inst credits.-
and
redits.-and that no part of the same has been paid.
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+ Ruma cob--am b ba and only sdna didaam between patnh cannot be detandnd b9 fund nL&we at.offt"bwkway map.
parnaant to 0-P-rtetoas—a peaamm of chap1 r log,Aaso low,Ihesaby*Rft that the o aowunt Is lust and oasnct.that the amowt oWmed L 1 dw.oReT oll o all lust anlitts.
cad flat no pati of dw same hes bees petd.
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NOV 2 3 2016