HomeMy WebLinkAbout330049 09/19/18 �ur.fQgb
CITY OF CARMEL, INDIANA VENDOR: 120950
ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $********38.70*
CARMEL, INDIANA 46032 C/O DEPT OF LAW CHECK NUMBER: 330049
9y/roN_ C/0 DEPT OF LAW CHECK DATE: 09/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343004 AUGUST 38.70 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 120950 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DOUGLAS HANEY IN SUM OF$ CITY OF CARMEL
C/O DEPT OF LAW An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
C/O DEPT OF LAW
Payee
$38.70
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
August 43-430.04 $38.70 I hereby certify that the attached invoice(s),or 9/13/18 August $38.70
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
Thursday, September 13,2018
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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 CLAIMI
TO—_
O 1 OUR n s 1(
City of Carmel, Indiana
(GOVERNMENTAL UNIT)
Department of Law O 1180 ON ACCOUNT OF APPROPRIATION NO. 434-3004 FOR Mileage
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION
FROM TO SPEEDOMETER Al
DATE READING +
�oUT— NATURE OF BUSINESS M7
POINT POINT START FINISH TRA'
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AUTO LICENSE NO. TOTALS
+ 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 due, after allowing
-and that no part of the same has been paid.
Date