HomeMy WebLinkAbout324895 05/09/18 ,CAA .
�{u `"' CITY OF CARMEL, INDIANA VENDOR: 372405
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'� CHECK AMOUNT: $*******11272*
.; d i'.•. ONE CIVIC SQUARE KATHYRYN BRADBERRY
?� CARMEL, INDIANA 46032 4700 BRIARWOOD TRACE CHECK NUMBER: 324895
vM,TON,�� CARMEL IN 46033 CHECK DATE: 05/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 112.72 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Bradberry, Kathryn Payee
4700 Briarwood Trace
0` Carmel, IN 46033 In Sum of$ Purchase Order#
Bradberry,Kathryn Terms
$ 112.72 4700 Briarwood Trace Date Due
Carmel, IN 46033
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
Po#ornvoice Description
Dept# INVOICE N0. ACCT#ffITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-3 Reimb 4343000 $ 112.72 Board Members 4/18/18 Reimb Mileage 8/14/17-1/26/18 $ 112.72
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
$ 112.72 Total $ 112.72
May 3,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
Cost distribution ledger classification if
YAhlo"Lmi with ICS-11-10-1.6
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
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MAY'0 2 2010 QV i1
GENERAL FORTH NO.101(198b)
PRESCRIBED BY STATE BOARD OF ACCOUNTS It I _
BY:..............==;::::-�ILEAGE CLAIM
TO
(Gov ENrAL uNnl ON ACCOUNT OF APPROPRIATION NO- FOR
(OFFICE,BOARD,DEPARTMEKT OR-DISMUITION) -
SPEEDOMETER AUTO
DATE
To READING {FROM
NATURE OF BUSINESS MILES CJ
TRAVELED
POINT POINT STAR? FINISH PER MILE
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+ SPEEDOMETER READING columns are to beused only when distance between points cannot determined t be detid by fixed mileage or official highway map. LI
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 allowing all jusdits•-
and that no part of the same has been paid.
Date141,
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