HomeMy WebLinkAbout330668 10/02/18 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# 2 n� 4� Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Brown, Thomas J ( G� Payee
3619 Brian Place
Carmel, IN 46033 In Sum of$ Purchase Order#
Brown, Thomas Terms
$ 321.65 3619 Brian Place Date Due
Carmel, IN 46033
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#ornvoice Description
Dept# INVOICE NO. ACCT#/ ITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-9 Reimb 4343000 $ 321.65 Board Members 9/19/18 Reimb Mileage 6/4-8/6/18 $ 321.65
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
$ 321.65 Total $ 321.65
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
claim paid motor vehicle highway fund Signature -,20—
Accounts
20_Accounts Payable Coordinator Clerk-Treasurer
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PRESCRIDED BT STATE BOARD OF ACCOUPM GrRF-9RL FOAM RO 101 919M
MILEAGE CLAIM-�
TO
1GOVERNMENrAL UMM ON ACCOUNT OF APPROPRIATION NO. FOR
tomcL,BOARD,DwARTbamr OA IBsumnoR)
I ��PEEDOMETEH AUTO MILEAGE
FROM TO
DATE HEADING + NATURE OF BUSINESS MIS @ IN
POINT POINT START FINISH TRAVELED PER
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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 d io-4vinq�e s.
end that no art of the sa as been /
Date
1
R,ri
St�J252018