319423 12/07/17 CITY OF CARMEL, INDIANA VENDOR: 368806
ONE CIVIC SQUARE KATHRYN LUSTIG CHECK AMOUNT: $********36.92*
CARMEL, INDIANA 46032 160 CARMELVIEW DR CHECK NUMBER: 319423
v;iTON,Fo'� CARMEL IN 46032 CHECK DATE: 12/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 REIMB 36.92 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 368806 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KATHRYN LUSTIG IN SUM OF$ CITY OF CARMEL
160 CARMELVI EW DR An invoice or 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.
CARMEL, IN 46032
Payee
$36.92
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Engineering
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 43-430.02 $36.92 1 hereby certify that the attached invoice(s),or 11/30/17 0 Mileage for travel to pick up checks and deliver $36.92
2200 2200 2200 2200 to attorney
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, December 05,2017
Jeremy Kashman
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Clerk-Treasurer
20Clerk-Treasurer
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL F
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
Er-l9ir1 eeri r�
�1 ON ACCOUNT OF APPROPRIATED NO. FOR
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION)
DATE FROM TO ODOMETER
READING+ NATURE OF BUSINESS AUTO MILES
201q POINT POINT TRAVELED
START FINISH
1k 30 Ci+y 140L11 g�Z9 Wic\t\pwWa 2b-413 24.941 pick .. Checks �rt,m Skip 'TennanCOwn 2$
1, 30 gy25 wlcklow Way q-AqS 2-C.-ALAI 2(P-4-ALA 'Take Checks lo Clapp a*- Law 33
l l 3o Cil-'/ Hall 2(.74'4 LA 2 Gq S Z Re ,ter }-0 0 Ny H CA 1 1
AUTO LICENSE NO. TOTALS
+ODOMETER 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,Acts 1953;1 hereby certify that the foregoing account is just and correct;that the amount claimed is legally due,after allowing all
Just credits,and that no part of the same has been paid.
1
Date ,20