HomeMy WebLinkAbout330706 10/02/18 J`%�"p''"� CITY OF CARMEL, INDIANA VENDOR: 372280
® ., CHECKAMOUNT: $********57.66*
ONE CIVIC SQUARE REBECCA LAMSON
9 /a' CARMEL, INDIANA 46032 2985 WEATHERSTONE DRIVE CHECK NUMBER: 330706
�„��oN�. CARMEL IN 46032 CHECK DATE: 10/02/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 57.66 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 372280 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Lamson, Rebecca Payee
2985 Weatherstone Drive
Carmel, IN 46032 In Sum of$ Purchase Order#
372280 Lamson, Rebecca Terms
$ 57.66 2985 Weatherstone Drive Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-9 Reimb 4343000 $ 57.66 Board Members 9/20/18 Reimb Mileage 7/6-9/14/18 $ 57.66
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
$ 57.66 Total $ 57.66
September 25,2018
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
k&Refflual 10-171MMMAW
IN"- TWMIM_�l . - I A _
GO
PRESCRIBED BY STATE BOARD OF ACCOUNTS AL FORM NO.101(19BS)
MILEAGE CLAIM •°': sr -f{
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
LOFFICE,BOARD,DEPARTMENT OR INSTITUTION)
DAT FROM TO SPEEDOMETER
2� READING { NATURE OF BUSINESS AMILEAGEUTO
MILES Q C4.5 e
POINT POINT START FINISH TRA—W PER MILE
VAA GG
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LL
2
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MAW M Ea 0 W
GG Km 1.4
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14 fy)CG 54
AUTO LICENSE NO. TOTALS
It S.a r 1' F�Y;
11.E .
+ 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,afte allow' g all just credits:
and that no art of the same has been paid.
Date
7-6
ALN 2 5 2018
P,Y: ................