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CITY OF CARMEL, INDIANA VENDOR: 359285 CHECK AMOUNT: $********51.90*ONE CIVIC SQUARE V osESKA SIMMONDSCHECK NUMBER: 320210
CARMEL, INDIANA 46032 CHECK DATE: 01/04/18
ANDERSON IN 46016
J
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 51.90 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER.
CITY OF_'-ARMEL
VOUCHER NO.. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 359285 Allowed' 20 whom,rates parday,number of hours,'rate per hour,number of units,price per unit;etc:
Simmonds,•Valeska Payee
2703 E Lynn St
Anderson',,IN.46016' In Sum of$ 359285 Purchase order#
S
immonds;Valeska _ . : : Terms
$ 51.90 '2703.E Lynn St Pate nue
' Anderson; IN. 46016 .
ON ACCOUNT OF APPROPRIATION FOR
108.ESE
PO#ornvolce Invoice. Description .
INVOICE NO.. ACCT4.TE AMOUNT .
Dept#. ITLDate Number (or note attached invoice(s)or bill(s)) PO:# Amount'
1.081c4: Reimb 43:43000: $ 51.90 Board Members 12/20/17: Reim b .= : :Mileage 12/1.-12/19/17 $- '51.90
:.� I 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 - - - -
$ 51.90 Total $. . 51.90
December 27,2017 : .
. I hereby.certify.that the attachedinvbice(s),or bill(s)is(are)true.and correct and I hive audited same in accordance.
with IC 5-1:1 A 0-1.6
Cost distribution ledger classification if
claim paid motor vehicle'highway fund Signature 20.
Accounts Payable CoordinatorClerk-Treasurer
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