328281 07/31/18 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# 372385 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Eimerman,Jessica Payee
15097 Riverdale Dr N Apt 12
Carmel, IN 46033 In Sum of$ Purchase Order#
372385 Eimerman,Jessica Terms
$ 46.33 15097 Riverdale Dr N Apt 12 Date Due
Carmel, IN 46033
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or INVOICE N0. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-1 Reimb 4343000 $ 46.33 Board Members 7/23/18 Reimb Mileage 4/10-7/3/18 $ 46.33
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
$ 46.33 Total $ 46.33
July 26,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC5-11-10-1.6
Cost distribution ledger classification if Nahw"ulu
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
AcId ve-rdaro—'r . N-- hyf- I"A
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENRRAL'.FOAM NO.IW(1986)
MILEAGE
TO
(GOVERNMENTAL:UNIT)
S ON ACCOUNT OF APPROPRIATION NO. FOR.
(OFFICE,BOARD,DEPARTMENT OA;INBTnTWWN)
SPrDOMETER
pTg FROM TO .READING + AUTO MILEAG 4
It il3J� NATURE OF BUSINESS ALES
POINT POINT START FINISH TRAVELED PEA MILE
e/
t
i v Ll i
C
AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns are,to be used only when distance between points cannot be determined by fixed mileage or officialhighway map. ��`fal�ai
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 aliowinq all just credits;
and hat no part of the same has been paid. 3F,'
Date. , V�
C)Oq
E018