HomeMy WebLinkAbout328960 08/17/18 CITY OF CARMEL, INDIANA VENDOR: 372706
r ONE CIVIC SQUARE SAMANTHA HOVANEC CHECK AMOUNT: $********16.62*
CARMEL, INDIANA 46032 8240 LAKESHORE TRAIL EAST DR CHECK NUMBER: 328960
M,�TUN APT 225 CHECK DATE: 08/17/18
INDIANAPOLIS IN 46250
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 16.62 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 21 q�n Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Hovanec,Samantha �J ` "`fes Payee
8240 Lakeshore Trail East Drive,Apt 225
Indianapolis, IN 46250 In Sum of$ Purchase Order#
Hovanec,Samantha Terms
$ 16.62 8240 Lakeshore Trail East Drive,Apt 225 Date Due
Indianapolis, IN 46250
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-4 Reimb 4343000 $ 16.62 Board Members 8/6/18 Reimb Mileage 6/1 -8/6/18 $ 16.62
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
$ 16.62 Total $ 16.62
August 14,2018
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 1PAWMVXVU
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
I L A U Lca_WX-. v W Y-C 11 (X,\t tlAlfi U v e , � . Z l I
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AUG 0 9 2018
BY:.............
PRESCRIBED By STATE BOARD OF ACCOUNTS
GENERAL FORM NO.101 JIM)
MILEAGE(� CLAIM Lamy
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S TOuL Y I L�.�.
(GaVRRNI/ENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPAR3.tmr OR INarmnION)
�DATg FROM TO SPEEDOMETER
MILEAGE
MT
POINT NATURE OF HUSINESS Fa-
READING
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POINT START F3NISHPER MILE
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AUTO LICENSE NO. TOTALS �(( '�Y; •--
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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. (�tO
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 all just aredits.
and that_no_part `of-�thhe same-has been paid.
Date �.f w�a�d6l /7r _•,: " X11