322440 03/05/18 CITY OF CARMEL, INDIANA VENDOR: 370120
ONE CIVIC SQUARE AUDREY COOPER CHECK AMOUNT: $*******152.99*
?� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 322440
q .. CHECK DATE: 03/05/18
4 110N GO
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 152.99 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 370120 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Cooper,Audrey Payee
540 Zephyr Way
Westfiled, IN 46074 In Sum of$ Purchase Order#
370120 Cooper,Audrey Terms
$ 152.99 540 Zephyr Way Date Due
Westfiled, IN 46074
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-3 Reimb 4343000 $ 152.99 Board Members 1/26/18 Reimb Mileage 11/6-17-1/16/18 $ 152.99
1 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
$ 152.99 Total $ 152.99
February 26,2018
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
20_Accounts Payable Coordinator Clerk-Treasurer
Title
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