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HomeMy WebLinkAbout320568 01/11/18 k��r Cgq�f` CITY OF CARMEL, INDIANA VENDOR: 369763- ONE CIVIC SQUARE CHRISTId'N AMARO CHECK AMOUNT: $********73.02* CARMEL, INDIANA 46032 ao PAf Kgl` CHECK NUMBER: 320568 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 73.02 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 369753 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Amaro, Christian Payee 6039 Polonius Court Indianapolis, IN 46254 In Sum of$ 369753 Purchase Order# Amaro,Christian Terms $ 73.02 6039 Polonius Court Date Due Indianapolis,IN 46254 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#ornvolce Invoice Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-11 Reimb 4343000 $ 73.02 Board Members 12/29/17 Reimb Mileage 11/2/17-12/29/17 $ 73.02 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 $ 73.02 Total $ 73.02 January 4,2018 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance kPAtAf 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 PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM NO.101.119M MILEAGE CLAI .17 M 1 CGtI�fi ENrALUIRT1 < 3 '' ON ACCOUNT OF APPROPRIATION NO. FOR - y LOMCE.BOARD,DEPARTMENT OR 1NSnTUTIONI DATE SPEEDOMETER FROM TO READING + AUTO MILEAGE �— POINT POINTSTART FINISH NATURE OF BUSINESS MILE ® S`3 r- a TRAVELED PER MILE 1 W 13 M CC- 046e, C_WLGL W N'L GL 04 uJ 3 � 12 w vwcr. �w w G(_ b obb LL ►2 GC- W w "h GC L0 r►yGL 3 22 WB Vkt� wB _� zot 41 AUTO LICENSE NO. TOTALS " zt + SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.1 CT>bc 1-3,U0, 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 isle 11y due,after allowing all just credits; and that no part of the same has been paid. Date 1��2M 117 On I 1pol J 0 2 AN 2010 BY: 2 ollov Z o Ndr _ Na{IIo �'o'►P R Pilo iaa uq�.r•R1'a te PDQ'a�(+R3 ae a a"-"Wxoj ov I Iml x w Int'"OW to oa W-um �er►q�q� .,to A9lawR rmf Aq t"aq g®a'm!'Mad g "4 somM W4A AM Pm aq o;its 9laa=USl'�U o=a + Ax it a M • 7'ltt� M r f`+ .nw M e 9 Moilnv gtiN M S) PC M Al WW ryj 11 •J+0 4M 9m. no )') rl -y').'M -,79w- q,4 L 4L '$-JV rn -r 51W M aoMa-4%bcmw oo M ZIDl gi HI�ItR+[ ta45TI� now 17IDOi RFs, lC�flR[O»dILYtR e CIL �ei�� g�p�l��oamuna �ar�w '40H R=VlgdCPU"AO MO=lf XO OA go ®11�OOR p Y11'OR StY Y QTY �0(11^atllbtYtllt� •