327314 07/10/18 +�r_Cgq�
�/ ;� CITY OF CARMEL, INDIANA VENDOR: 369557 CHECK AMOUNT: $*******187.09*
® z, ONE CIVIC SQUARE AIMEE RICH
s ? CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 327314
v��rON,�, INDIANAPOLIS IN 46237 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 187.09 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 369557 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Rich,Aimee Payee
211 Junction Pass#2G
Westfield, IN 46074 In Sum of$ Purchase Order#
369557 Rich,Aimee Terms
$ 187.09 211 Junction Pass#2G Date Due
Westfield, IN 46074
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#ornvoice Description
Dept# INVOICE NO. ACCT#lfITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 Reimb 4343000 $ 187.09 Board Members 6/28/18 Reimb Mileage 4/30-6/27/18 $ 187.09
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
$ 187.09 Total $ 187.09
July 3,2018
I 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
PSMAMED By STATE SOARD 6F ACCOUNTS
MILEAGE CLAIM wwmaL VMM No.101(1985)
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AUTO LICENSE No.
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end that no part Pursuant to the provisions and penalties of Chapter 158,Acts 1953,thereby cer*that the foregoing account is jusl and correct,that the amou t Clab ed is 7 due,after
•f the smMe has been paid. n
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PRESCRIBED BE STATE BOARD OF ACCOUNTS
GMWILL FORM No.lol(1986)
MILEAGE CLAIMI&Kkinded
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AUTO LICENSE NO.
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined bir faced mileage nu
or offioial highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1853,I hereby certify that the foregoing account is just and correct,that the amount claimed is g due,aiter alIoTviu
and that no part of the s me has been paid. g j st redits
Date I9 `
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