HomeMy WebLinkAbout323691 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 371639
ONE CIVIC SQUARE ALYSSA HOLSTEN CHECK AMOUNT: S*******1 15.54*
,4 CARMEL, INDIANA 46032 209 VAILI COURT CHECK NUMBER: 323691
INDIANAPOLIS IN 46280 CHECK DATE: 04/06/18
E tON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 115.54 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# 371639 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Holsten,Alyssa Payee
209 Vali Court
Indianapolis, IN 46280 In Sum of$ Purchase Order#
371639 Holsten,Alyssa Terms
$ 115.54 209 Vali Court Date Due
Indianapolis,IN 46280
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or INVOICE NO. ACCT#/rrrLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-1 Reimb 4343000 $ 115.54 Board Members 3/19/18 Reimb Mileage 1/10-3/20/18 $ 115.54
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
$ 115.54 Total $ 115.54
March 20,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
r 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
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PBBSCRISED RY STATE BOARD OF ACCOUNTS
GENFJIAL FORM NO.101(1986)
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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 lega y due,after alloteing all just credits
and that n part'of t e same has been paid.
Date r
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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 legally due,Lifter allowing all just credits,-
and thatt'' part of he same has been paid.
Date_c�
l 7 V D
MAR 202018
BY.