HomeMy WebLinkAbout326252 06/12/18 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.
Horn, Casey 3�a� Payee
320 Pokagon Drive
Carmel, IN 46032 In Sum of$ Purchase Order#
Horn,Casey Terms
$ 21.26 320 Pokagon Drive Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#ornvoice Description
Dept# INVOICE NO. ACCT#(TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-3 Reimb 4343000 $ 21.26 Board Members 5/23/18 Reimb Mileage 5/21-6/1/18 $ 21.26
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
$ 21.26 Total $ 21.26
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
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM90.101(1986)
MILEAGE CLAIMt''j-----
f— To
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPAATMENT OR UMT=ION1
DATE FROM TO SPEEDOMETER AUTO AGE
(4-[Ey— READING + NATURE OF BUSINESS MILES ® E
POINT POINT START FINISH TRAVELED PER MII E
'1
rmp
a0
Fr/ oOf f
2 t C
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 allowing all just credits
end that�noo pa#,of. ama has been paid.
Da4e—
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