HomeMy WebLinkAbout328957 08/17/18 a�r-F�Nb
aY CITY OF CARMEL, INDIANA VENDOR: 366239
I; ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: $*******148.32*
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 328957
''ansa CHECK DATE: 08/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 148.32 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 366239 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Haddock, Monica Payee
7546 Ivywood Circle
Indianapolis, IN 46250 In Sum of$ Purchase Order#
366239 Haddock, Monica Terms
$ 148.32 7546 Ivywood Circle Date Due
Indianapolis, IN 46250
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-2 Reimb 4343000 $ 148.32 Board Members 7/24/18 Reimb Mileage 4/12-7/26/18 $ 148.32
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
$ 148.32 Total $ 148.32
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
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
= ,
AUG U 9 2018
PRESCRIBED BY STATE BOARD OF ACCOUNTS IRE•.............................. GENERAL FORM NO.101 11EB6I
MILEAGE CLAIM �\Lt0- CA,
TO—
VFANHENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
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FROM •" TO READING + NATURE OF BUSINESS MILES (� .5
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AUTO LICENSE NO. TOTALS ; 2Z,
+ 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
yddjuen,affter�pallowing all
just credits;
end that no part ot the same has been paid.
Date