HomeMy WebLinkAbout320217 01/04/2018 u" CITY OF CARMEL, INDIANA VENDOR: 368929
: CHECK AMOUNT: S********53.79*
b =` ONE CIVIC SQUARE LESLIE WIMBERLY
CARMEL, INDIANA 46032 C/O PARKS DEPT CHECK NUMBER: 320217
�7/ CHECK DATE: 01/04/18
�3iTUM�O
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION__
1081 4343000 REIMB 53.79 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER.
CITY OF CARMEL
VOUCHER NO: WARRANT NO.'
;
Ap invoice of bill to be.properly itemized must show;kind,of service,where performed;dates service rendered,by
Vendor# 368929 Allowed ` 20 whom rates per day,number of hours,rate per'hour,number of units,price per unit;etc:
Wimberly, Leslie Payee
. . . . . . . . . . . . . .. . . .
10832 Club,Circle
Indianapolis; IN 46229: In Sum of 368929. Purchase Order.#
. . .
Wimberly,Leslie Terns
10832 Club Circle: Pate Due
$: 5319 . .
Indianapolis,.IN 46229
ON ACCOUNT OF'APPROPRIATION FOR
708.ESE,
Po#or Invoice Invoice Description
INVOICE NO. ACCT.#rrITLE 'AMOUNT
Dept# Date Number (or note attached irivoice(s)or bill(s)) PO:# Amount '
1081-8: Reinlb 4343000: $ 53.79 Board Members 12/5/17. : Reimb Mileage 9/25-72[5/17 $_ 53.79.
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 madewere ordered and
received except
$ : : :53.79 : Total', $ : 53.79
'December 27,2017
hereby .certify,that the attached invoice(s),or bill(s)is(are)true.and correct and:l have'sudited same in accordance
with.IC 5,1.1=10-1.6
Post distribution ledger classiflcation.if; .
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer.
Title .
PRESCRIBED BY STATE BOARD OF ACCOUNTS J / , GENERAL FORM NO.101(19867
MILEAGE CLAIM
TO
�OVERdNICENSAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FO
(OFFICE,BOARD,DEPARTMENT OR INSTnUTION)
'SPEEDOMETER
DATE FROM TO I READING .1- AUTO MILEAGE
1-7POIATT POINT START FINISH NATURE OF BUSINESS MILES TRAVELED ED ®� G
PER MILE
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AUTO LICENSE NO. 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,Acts 1953,I yihatthe_foregoing account is just and correct,that the amount claimed is legally due,after Oloying all ' st Credits.*
and that part of the ame has been paid.
Date
DEC
12011
Club 6rd-c-
' A&22�