HomeMy WebLinkAbout329401 08/27/18 CITY OF CARMEL, INDIANA VENDOR: 372722
(9,
ONE CIVIC SQUARE BILLY SCHWABCHECKAMOUNT: $********38.15*
CARMEL, INDIANA 46032 2106 HAWKESBURY LN CHECK NUMBER: 329401
APT D CHECK DATE: 08/27/18
INDIANAPOLIS IN 46260
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 REIMB 38.15 TRAVEL FEES & EXPENSE
. . : . ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL: :
VOUCHER NO.- WARRANT NO.
An invoice of bill to be prop'erly:itemiied must show;kind of service,'where performed,dates service'rendered,:by
Vendor# Allowed. 20 wnom;.rates per day,number of hours,rate'per hour;number of units,price'per unit,etc.
2 n r� r� -
Billy.Schwab. ., :J !Of .o . . Payee
•
21.06.Hawkesbury.Ln Apt D ..
Indianapolis;IN 46260: In Sum of$ Purchase Order:#
Billy Schwab : :. Terms:
$'•
38.1,5 2106 Hawkesbury Ln Apt D. pate Due
Indianapolis; IN 46260
-ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or Invoice- Description.
INVOICE NO. ACCT#rrITLE AMOUNT
kept# Invoice.Date Number (or note'attached.invoice(s)or bill(s)) PO# Amount
1082-1'1 Reimb :4343000 : $ 38.15 Board Members 8/8/18 : Reimb. Mileage 4/17-5/17/18 $ 38.15
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
$. . :38.15: : " Total. $: 38.15
August-20,2018
Ihereby certify that the attached invoice(s),'or bill(s)'is'(Eire)true and correct and l have audited same in'accordance
with IC5-1.1-10=1.6'
Cost'distribution ledger classification if. �
claim'paid motor vehicle highway fund Signature.. 20_
Accounts Payable Coordinator. Clerk-Treasurer.
Title
Z-77��
ny:
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM NO.10 \I�
C^ � MILEAGE CLAIM
C...
To—
(GOVERNMENTAL
O(GTOVERNMENTAL UNM m
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTbUNT OR TNSTOTTTION)
DATE
FROM TO SPEEDOMETER
READING j, AUTO MILEAGE
2D 1� NATURE OF BUSINESS MILES p y S C
POINT POINT START FINISH TRAVELED P
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West Ef,n rb Mo�oll t.� r rn; C P1 1A PS 6.1 11S.—T-9F
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AUTO LICENSE NO. TOTALS -70 1 ! 1 5
+ 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.azd_Penalties of Chapter 155,Acts 1853,I hereby certify that the foregoing account is just and correct,that the amount claimed Is legally due,after win all just credits
and that no partame has been paid. v
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