HomeMy WebLinkAbout315248 08/29/2017 94�
"•• CITY OF CARMEL, INDIANA VENDOR: 371870
ONE CIVIC SQUARE DAVID BERGSMA CHECK AMOUNT: $********'5.35*
i ,q; CARMEL, INDIANA 46032 14261 W PREVAIL DRIVE CHECK NUMBER: 315248
�.y,�TON.�. CARMEL IN 46033 CHECK DATE: 08/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 5.35 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.
Terms
371870 Bergsma, David
14261 W Prevail Dr
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/8/17 Reimb Mileage 8/8/17 $ 5.35
Total $ 5.35
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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