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HomeMy WebLinkAbout324788 04/30/18 CITY OF CARMEL, INDIANA VENDOR: 369557 ® ONE CIVIC SQUARE AIMEE RICH CHECK AMOUNT: $**....*341.82* f• ?� CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 324788 9M1roN"c°` INDIANAPOLIS IN 46237 CHECK DATE: 04/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT_ DESCRIPTION 1081 4343000 REIMB 341.82 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 369557 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Rich, Aimee Payee 211 Junction Pass#2G Westfield, IN 46074 In Sum of$ Purchase Order# 369557 Rich,Aimee Terms $ 341.82 211 Junction Pass#2G Date Due Westfield, IN 46074 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Fund PO#ornvolce Description Dept# INVOICE No. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 Reimb 4343000 $ 341.82 Board Members 4/25/18 Reimb Mileage 2/1 -4/24/18 $ 341.82 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 $ 341.82 Total $ 341.82 April 25,2018 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 Payable Coordinator Clerk-Treasurer Title PRESCRBTED BY STATE BOARD OF ACCOMM MILEAGE CLAIMGii FOR.No.101 0986) ScanaClil �nc�rtirn o In a- TO_ -Tray(l R .r 'p i 2m l(lf�l::qq-4 5LA OO u C; r1/ Q(GOVERBto�nnaALu9ij •� J� " ON ACCOUNT OF APPROPRIATION NO. FOR St1CY\ \C� 10MCE•BOARD,DEPARTAD*NNT-------MTC—N) DATE FROM Sp�O 1GL TO POINT ltlsADiNG AUTO MTT:4Ef a POINTSTART FINISH NATURE OF BUSINESS TRAAVVE ID ., CM Anil 1pBON VASS -c n min an e, \b 21\ 'PaS it q a t Zb.2 10 UM Q ?A 14 111 %AYn N 1O T6 5 i a _ C1 .q 0S i tai I.1► vI t 4- .l AUTO LICENSE NO. SPE®OMETER READING columns are to be used o TOTALS �Q2�1. , Only when distance between points cannot be determined by fixed mileage or official highway map. ®—�— 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 all and that no part of the same has been paid. q due,after altojust are Date a.Z�. APR 252018 l ................................ W Zt 1 ��n c,�ion bass Zcs ux� ►old TV� 4 c�o� 'r PRESCRIBED BY STATE BOARD OF ACCW= MILEAGE CLAIMG6 ERU FOB"No.]01(lam �xidPcl Sinar�l -nrlC�nmPYl�- Ta_ Trak/ r 'Di2Y�n l(Y�l�l°l y3N300�1 .� (GOV�IBhnn,ee uxir) J� tp IrJ` ON ACCOUNT OF APPROPRIATION NO. FOR S1\CYC k\ (OFFICE.BOAAD,OFYAATHnTT OH Bmntunc�a) nADATE FROM TO §PEEDO ly 1� POINT AUTO MTl:var.e POINT START FJNJSH NATURE OF BUSINESS MILES TRAVELED , , AU - c mul 2 �O l '7 .-7 n- e I T 3 t � 11scil J2. 1.0 1 E tr1 -3 Z�I 15 Ito H cLto a no ..�- visto.Lo S tbo AUTO LICENSE NO, TOTALS Z + SPEEDOMETER READING columns are to be used only when distance between points cannot be determined bs.fixed mileage or official highway map. • 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%,after allowin ust credits,• and that no part of the same has been paid. Date � ?17ED APR 252018 FRESCSBB9 By STATE BOARD OF ACCOUaTS MILEAGE CLAIMr �Ac FORM no.jai(IgMdecl ScanaN art ,nae n-kL Tp___TrQV-f- INT "Di rn l(Y 1-�-y3'd3 00 u .Lf(GOVERtLwanLurnl7 ON ACCOUNT OF APPROPRIATION� NO. [OFFICE,BOARD,o�ARnmrr oB Btsnnrrios� poll ATE FROM TO SP AEADING�ER POS POINT NATURE OF BUSINESS AUTO btn:oane START FINISH 1 EtED _ 2 2 ItIll 111 'T ` •S; . V FA LZ -i.f (t. N� 1 E-W tCS.ar Z U. • S .b c W3n: 1 a 2 ILD 112 . ML IQ -xv- L�9 2OL V420: 6 i '7. 3 l 7 AUTO LICENSE No. •S / TOTALS + SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions ccount is just and correct,that the amount claimed is legally du and penalties of Chapter 155,Acts 1953,I hereby certify that the fotegoing ay e 4LI%J- end that no part of the same has been paid, yafter allow just credits. Date A -FvEgD APR 252018 BY: