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HomeMy WebLinkAbout322981 03/21/18 i CITY OF CARMEL, INDIANA VENDOR: 369753 oi� ONE CIVIC SQUARE CHRISTIAN AMARO CHECKAMOUNT: $*****"**81.75CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 322981 CHECK DATE: 03/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT I DESCRIPTION 1081 4343000 REIMB 81.75 TRAVEL FEES & EXPENSE I I I ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 369753 Allowed 20_ whom rates per day,number of hours,rate per hour,number of units,price per unit,etc. Amaro, Christian Payee 6039 Polonius Court Indianapolis, IN 46254 In Sum of$ Purchase Order# 369753 Amaro,Christian Terms $ 81.75 6039 Polonius Court Date Due Indianapolis,IN 46254 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Po#or Invoice Description Dept# INVOICE NO. ACCT#rnTLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-11 Reimb 4343000 $ 81.75 Board Members 3/13/18 Reimb Mileage 1/9-3/13/18 $ 81.75 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 $ 81.75 Total $ 81.75 March 16,2018 I 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 CEI LIAR 1 6 2018 FBESCRWD BY STATE BOARD OF ACCOBNIS g� ..... GENERAL FORM NO.101(1986) 1 MILEAGE CLAI (�� _ 3��,^ �s� V t 7 Gov SAL Sq UNIT) ON ACCOUNT OF APPROPRIATION NO. (OFFICE,BOARD,•YDWARR'I1�-N•r-• OR INffOTUT1ON) DATEFROM TO SPEEDOMETER AUTO MILEAGE �m READING + NATURE OF BUSINESS MIm @ .T11(— a _L-D_ POINT POINT START FINISH TRAVELED PER I'm b C- --FLA, - -- - — — - ----- -- ------ - --- VIN LL a 5 VIA L WA Vvt L 3 X18 .3 W Z W r-X L(� 3• L bra 2$ W n'LLf, W C-rUt, vi & w- U_ L W '7 wB fi VA c(, 3 w/G j �` ✓►1 CL AUTO LICENSE NO. TOTALS Q'`]—7 `V,33I 1z + SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. TaTA L. 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' lly due,after allowin all just credits " and the no part of the same has been paid. Date` ���l$ 3/0/)b ('wl MAR 1 6 2018 PH=RWED BY STATE BOARD OF ACCOUM �,� (� ( GLtiFAAL FORM NO.101(1006) $Y; MILEAGE CLAIM- , 4��� o AL IINtTI To � r � � / //'/` ON ACCOUNT OFAPPROPRIATION NO. FOR � (OFFICE.IBOARD,LEPAVnMr OR 5ffff 0N) DATE FROM TO EEDOMET READIING +ER AUTO MILE GE POINT POINT START FINISH NATURE OF BUSINESS � ® .$'tr a G a triWIG PSA MILEw5%*A ' �... La ( z•r ��• VJ Vv1 LL C W 3 a2. L& W IR w P,( t 1 Lola wt cL 3 w1G(-- W w W1 v � W ( 3 VA U-1 w1 (a wl. L vJ VVlL c VJ MCC 3- ((_ W _ S W CL b W W1 LL 3 b WS L Vh C- W ' AUTO LICENSE NO. TOTALS + SPEEDOMETER HEADING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. V 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' gally due,after wing all just credits and that no part of the same has been paid. Date 3 C+. ��zs-q