315118 8/22/2017 ''• CITY OF CARMEL, INDIANA VENDOR: 371639
0 ONE CIVIC SQUARE ALYSSA HOLSTEN CHECK AMOUNT: $....****41.73*
s •�; CARMEL, INDIANA 46032 209 VAILI COURT CHECK NUMBER: 315118
�. INDIANAPOLIS IN 46280 CHECK DATE: 08/22/17
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DEPARTMENTACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 41.73 TRAVEL FEES & EXPENSE
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.
371639 Holsten, Alyssa Terms
209 Vali Court
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/8/17 Reimb Mileage 1/13-4/25/17 $ 41.73
Total $ 41.73
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
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