HomeMy WebLinkAbout327305 07/10/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 372280
ONE CIVIC SQUARE REBECCA LAMSON CHECKAMOUNT: $*******133.46*
CARMEL, INDIANA 46032 2985 WEATHERSTONE DRIVE CHECK NUMBER: 327305
CARMEL IN 46032 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 67.19 TRAVEL FEES & EXPENSE
1082 4343000 REIMB 66.27 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 372280 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Lamson, Rebecca Payee
2985 Weatherstone Drive
Carmel, IN 46032 In Sum of$ Purchase Order#
372280 Lamson, Rebecca Terms
$ 133.46 2985 Weatherstone Drive Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or INVOICE NO. ACCT#lrITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-9 Reimb 4343000 $ 67.19 Board Members 6/21/18 Reimb Mileage 1/23-3/28/18 $ 67.19
1082-10 Reimb 4343000 $ 66.27 6/21/18 Reimb Mileage 4/5-6/15/18 $ 66.27
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
$ 133.46 Total $ 133.46
July 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
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
PMCMECD m STATE HOARD OF AC00UN73 Gf.'NFAAL FOAM NO M 11950
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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. � 7,���_ .
Pursuant to lite provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is lust and correct,that the amount claimed is legally duo,site alioty a8 dit
Iust cre
end that no 0-d-of-thee same has been paid. 4Y I
Date - --
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JUL 022010
4
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PRESCRIBED By STATE SOARD OF ACCOUNTS
GENERAL FORM NO.101(1985)
MILEAGE CLAIM
TO
1GOVh71NMENTAL TIIaTT
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTMENT OB INSTITUTION)
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READING + AUTO MILEAGE
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PER MILE
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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 all Ing all just credits;
end the no art of the same has been paid.
Date � zi.� y;
101
JUL 1'37