HomeMy WebLinkAbout327470 07/17/18 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372573 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GUSTAVO JIMENEZ IN SUM OF$ CITY OF CARMEL
2200 WEST SEDBURY DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
APT. B15 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
BLOOMINGTON, IN 47403
Payee
$43.20
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Department of Law Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
June 2018 43-430.04 $43.20 1 hereby certify that the attached invoice(s),or 7/10/18 June 2018 $43.20
1180 101 1180 101
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
Tuesday,July 10,2018
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
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
TO Gy .-CC\/ 7�k CAQU 7
City of Carmel, Indiana
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. 434-3004 FOR Mileage
Department of Law - 1180
(OFFICE,BOARD,DEPARTMENT OR INSTITUTIOhl
DATE FROM TO SPPEEDOOMGET_ER AU'
READINNATURE OF BUSINESS Mu
20 POINT POINT START FINISH TRAVI
Ma 30 C ` �-�
M V colylr l4 G Sr"G,
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AUTO LICENSE NO. TOTALS -1
¢ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. r
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 a
and that no part of the same has been paid.
Date