HomeMy WebLinkAbout320204 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 369557
r• �b ,•
CHECK AMOUNT: $********61.63*
ONE CIVIC SQUARE AIMEE RICH
CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 320204
INDIANAPOLIS IN 46237 CHECK DATE: 01/04/18
w DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 61.63 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 369557 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Rich,Aimee Payee
211 Junction Pass#2G
Westfield, IN 46074 In Sum of$ 369557 Purchase Order#
Rich,Aimee Terms
$ 61.63 211 Junction Pass#2G Date Due
Westfield,IN 46074
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE N0. ACCT#/TITLE AMOUNT Invoice Invoice Description
Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 Reimb 4343000 $ 61.63 Board Members 12/21/17 Reimb Mileage 12/1-12/21/17 $ 61.63
1 hereby certify that the attached invoice(s),or
bill(s)is(are)true and correct and that the
ti materials or services itemized thereon for
which charge is made were ordered and
received except
$ 61.63 Total $ 61.63
December 27,2017
1 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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Mr
7-7 P4 D
DEC 2 7 2011
PHrSCHISED BY STATE BOARD OF ACCOUNTS BY:„•,,,,,,,,,,,,,,,,,•,••,,....
GO.&L FOAM NO.101(1006)
MILEAGE CLAIM1
64ktnho� Int61 r=nri an nO PYl 4- TO' 'T1 -1 r •D i -inn y 3N3 00 W
rz1 1>MEN�ALaNn,
C, - �rn�� Si an
ON ACCOUNT OF APPROPRIATION NO. fiOA
(OFFICE,BOARD,DEPABn4Nr os 599 ft-n ON)
2�{�� FROM I SPEEDOMETER READING L AUTO MILEAGE
POINT POINT START F1N1SH NATURE OF BUSINESS MILES .cyg5 Q
TRAVELED
PER MILE
171- T
2
`5' •2-
Tff i 5 t'� V
Z �S�
_ D
3 •5
1 t .' .l lv
r7 11S 'I.i
t .I
M COIL
I 1P Ps- t¢
{ t VI 1,95O
L�, E& St ler
3•
r, tT
% l MT v;St 3.3 t -1tv
YOt .3I -7tv
M& J Z&
C
I b e
t O UUYS 6 G -yrai V1 .']
AUTO LICENSE NO.
TOTALS l I h•2 `w f n t 6 /_2
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 111 V! J
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 le all due,after allow' �justcradits,
and that no part of the same has been paid.
Date 12-V • 17
Pass ? , w T'�Lqv J �N L4 Q0 0-1 L