HomeMy WebLinkAbout319614 12/12/2017 ♦us:GAq�
CITY OF CARMEL, INDIANA VENDOR: 129401
I ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECK AMOUNT: $*******538.35*
x. a� CARMEL, INDIANA 46032 C/o Docs CHECK NUMBER: 319614
9 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER _ .INVOICE NUMBER AMOUNT DESCRIPTION
1192 4469000 2622365.00 LIBRARY REF MATERIALS
1192 4343001 HOLLIBAUGH 173.35 TRAVEL FEES & EXPENSE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 129401 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MICHAEL HOLLIBAUGH IN SUM OF$ CITY OF CARMEL
C/O DOCS 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.
Payee
$538.35
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
Hollibaugh 43-430.01 $173.35 1 hereby certify that the attached invoice(s),or 12/1/17 Hollibaugh Mileage for 6 different trips from 10-23-17 to $173.35
1192 101 1192 101 12-01-17
2622 44-690.00 $365.00 bill(s)is(are)true and correct and that the 12/4/17 2622 7 Books for Library-6 Genius of the European $365.00
1192 101 materials or services itemized thereon for 1192 101 Sq&1 Making Cities Livable
which charge is made were ordered and
received except
Thursday, December 07, 2017
Mike Hollibaugh
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—
Cost
20Cost distribution I :lassification if claim paid motor vehicle highway fund. Clerk-Tres
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CARMEL,IN 46032 CARMEL,IN 46032
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Joe Anglin Glatting Lopez
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The Forgotten
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Hello Michael Hollibaugh,
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL F1
MILEAGE CLAIM
City of Carmel. TO Michael Hollibaugh
(GOVERNMENTAL UNIT)
Department of Community Services ON ACCOUNT OF APPROPRIATED NO: F(
(OFFICE,BOARD,DEPARMTNE OR INSTITUTION)
DATE FROM TO ODOMETER
READING+ NATURE OF BUSINESS AUTO
2017 POINT POINT START FINISH MILES P
TRAVELED
12 1 8813`d Ave SW,Carmel 1912 N Meridian St, Indy 74433 74466 IRTC Executive Committee-Regional Planning presentation 33
11 28 8813`d Ave SW, Carmel 1912 N Meridian St, Indy 74308 7.4343 Indy MPO Regional Planning summitt 35
11 09 8813`d Ave SW,Carmel 19000 Grand Park Blvd. 73,641 73,661 Hamilton County Leadership Academy—Development Day 20
Carmel, IN 46032 Westfield, IN
11 01 8813`d Ave SW,Carmel 530 Main Street. 73,480 73,644 US 31 Coalition Board meeting 164
Carmel, IN 46032 Rochester, IN
10 27 8813`d Ave SW,Carmel Indianapolis Int.Airport 73,363 73,399 Travel to ULI Fall Meeting 36
Carmel, IN 46032
10 23 Indianapolis Int.Airport 8813`d Ave SW,Carmel 73,326 73,363 Travel from ULI Fall Meeting 36
Carmel, IN 46032
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;I 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.