HomeMy WebLinkAbout326227 06/12/2018 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.
Brown, Michelle Payee
4� y9259 Vassar Lane Apt F
Indianapolis, IN 46240 In Sum of$ Purchase Order#
Brown, Michelle Terms
$ 49.05 9259 Vassar Lane Apt F Date Due
Indianapolis, IN 46240
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#frITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-10 Reimb 4343000 $ 49.05 Board Members 5/31/18 Reimb Mileage 2/15-5/16/18 $ 49.05
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
$ 49.05 Total $ 49.05
June 6,2018
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
I�
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM TIO.101(1986)
MILEAGE CLA
(GOVERNMENTAL UNIT) -—_
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION)
�D�ATE FROM _ TO SPEEDOMETER AUTO
�g READING i- NATURE OF BUSINESS MnEB @� E
POINT POINT START FINISH TRAVELED PER MILE
ma
2 }-
Wu 1 ZS
V--
0 V
Z 1I - ,QTO
2S
_ c
h
AUTO LICENSE NO. 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 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 alloviffiq all just credits;
end that o part of thea has been paid.
Date _ =
LA 69qb
%y
_ `lr P