HomeMy WebLinkAbout327283 07/10/18 i ui_F�gM
�i CITY OF CARMEL, INDIANA VENDOR: 370120
ONE CIVIC SQUARE AUDREY COOPER CHECK AMOUNT: $********84.25*
f� ,�� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 327283
'�i,�ro;�-oo• CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 REIMB 84.25 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 370120 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Cooper,Audrey Payee
540 Zephyr Way
Westfiled, IN 46074 In Sum of$ Purchase Order#
370120 Cooper,Audrey Terms
$ 84.25 540 Zephyr Way Date Due
Westfiled, IN 46074
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1082-12 Reimb 4343000 $ 84.25 Board Members 6/26/18 Reimb Mileage 5/10-6/22/18 $ 84.25
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
$ 84.25 Total $ 84.25
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
PRESCRIBED BY STATE BOARD OF AccaM75 J- GENEIIAL FORM NO.10).(30867
MILEAGE CLAIM
V V TO
(GOVERNMERTAL UNIT) I'
(OFFICE,BOARD,DEPARTMENT OR U&STITDTION)
i ON ACCOUNT OF APPROPRIATION NO. FOR
SPEEDOMETER
AIF_ FROM TO READING + AUTO MILEAGE C
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+ 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,afte (owing all jus redits;
and that no par�,o the same hos been paid.
Date c
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201E
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