330933 10/09/18 y u'�,A� CITY OF CARMEL, INDIANA VENDOR: 371641
® ONE CIVIC SQUARE KAYLA WILLIAMS CHECK AMOUNT: $*********8.94*
?� CARMEL, INDIANA 46032 5926 APACHE WELLS APT 447 CHECK NUMBER: 330933
�'��iori'�°' INDIANAPOLIS IN 46224 CHECK DATE: 10/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 8.94 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 371641 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Williams, Kayla Payee
5926 Apache Wells. Apt 447
Indianapolis, IN 46224 In Sum of$ Purchase Order#
371641 Williams, Kayla Terms
$ 8.94 5926 Apache Wells. Apt 447 Date Due
Indianapolis, IN 46224
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or Invoice Description
Dept# INVOICE NO. ACCT AMTLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-5 Reimb 4343000 $ 8.94 Board Members 9/28/18 Reimb Mileage 8/31-9/6/18 $ 8.94
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
$ 8.94 Total $ 8.94
October 3,2018
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
/� /� l with IC 5-11-10-1.6
Cost distribution ledger classification if /(j�(iYl�
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
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t _ Ct
OCT 0 2 .2010
RY:..............................
GFNFAAL iORTd PG 30I 119Ebt
PP29CMDED BT STATE HOARD Of ACCOUNTS
/� q MILEAGE CLAIM
W Cly •W � TO_
VERNMENrAL WIM ON ACCOUNT OF APPROPRIATION NO. FOR —
-�—" FCW_nCr,BOARD,DEPARTTONT OR THSTMFrION)
FROM — SPEEDOMETER AUTO
—, To — READING •)- TTRhA
I[.EBNATUAE OF BU91NES6VELfit)
POINT POINT START FINISH PEP.MILE
ED
-- -- — c _
RAD
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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 Ute provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account 19 lust and correct,that the amount claimed is 1 all due, tier ing all Eusl credits.-
and
redits.end that no pari o the- a has been paid. _ –
E=r- ,
—