HomeMy WebLinkAbout330676 10/02/18 i u�_C,q�J
CITY OF CARMEL, INDIANA VENDOR: 370120
.� ® �;• ONE CIVIC SQUARE AUDREY COOPER
CHECK AMOUNT: $*******132.98*
s. aa; CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 330676
"�;;�roN�. CHECK DATE: 10/02/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 132.98 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 370120 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Cooper, Audrey Payee
540 Zephyr Way
Westfiled, IN 46074 In Sum of$ Purchase order#
370120 Cooper, Audrey Terms
$ 132.98 540 Zephyr Way Date Due
Westfiled, IN 46074
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or nvoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-3 Reimb 4343000 $ 132.98 Board Members 9/10/18 Reimb Mileage 7/30-9/6/18 $ 132.98
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
$ 132.98 Total $ 132.98
September 25,2018
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
Cost distribution ledger classification if IpAdlb��
claim paid motor vehicle highway fund Signature ,20
Accounts Payable Coordinator Clerk-Treasurer
Title
5cr�� Z--8—
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.101(1880
_ C MILEAGE CLAIM
l TO
(GOVE-MENrAL UMT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARVINT ON INSTITUTION)
FROM TO SREADlN1C T+ER AUTO �(
NATURE OF BUSINESS POINT POINT START FINISH T AVBLED ®_� MILE C
PER MILE
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AUTO LICENSE NO. TOTALSa�.(a. O
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be dete I insd by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoinglaccount is just and correct,that the amount claimed is legally ,aftpiotving all jv credits
end that no part of the same has been paid.
Date fF 4 1 r -
7,30 U. 18'
v0 n
SLF252018
Y: ................