HomeMy WebLinkAbout318955 11/21/17 CITY OF CARMEL, INDIANA VENDOR: 369795
d ONE CIVIC SQUARE MEGAN RILEY CHECK AMOUNT: '$********67.95*
x a° CARMEL, INDIANA 46032 CiP PARKS"
ARKS CHECK NUMBER: 318955
CHECK DATE: 11/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER- AMOUNT DESCRIPTION
1082 4343000 REIMB 67.95 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
369795 Riley, Megan Allowed 20
14538 Brackney Ln
Carmel, IN 46032
In Sum of$
$ 67.95
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-12 Reimb 4343000 $ 67.95 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, 2017
$ 67.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
6Rac" Lo4,,-�
PPt5C111![a Dr 6rA7L BOARD OF accouNn &DIMAL FORM PC 101 11"31
MILEAGE CLAIM f
TO— 1
Et•r�i ON ACCOUNT OF APPROPRIATION NO. FOR -
r 1MLSOARD DWAXUMKtor sroU oNi
FROM TO SPEEDOMETER AUTO 1lR SAGE
DATg READING + NATUAE"0"RUSW-SSa —
POINT POINT START FINISH 7RAV1 L8D PER MILE
i X1 2-6 _ _ �000 �I
_ t
�.
p 1S
AUTO LICENSE NO. W TOTALS
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155,Aate 1953,I hereby certify that the foregoing account t,just and correct.that the amount claimed is legally due,after allowing all Just9fetlils
end the nq ert of the same has been paid.
Date 3J I --
� �
RE !7
NOV 14 2017
I
BY: