330916 10/09/18 �y "A*� CITY OF CARMEL, INDIANA VENDOR: 369557
' CHECK AMOUNT: $*******211.29*
., ,• ONE CIVIC SQUARE AIMEE RICH
%. �. CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 330916
.9��[TOtJ L'�'` INDIANAPOLIS IN 46237 CHECK DATE: 10/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 211.29 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 369557 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Rich, Aimee Payee
211 Junction Pass#2G
Westfield, IN 46074 In Sum of$ Purchase order#
369557 Rich,Aimee Terms
$ 211.29 211 Junction Pass#2G Date Due
Westfield, IN 46074
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 Reimb 4343000 $ 211.29 Board Members 9/28/18 Reimb Mileage 7/2-9/28/18 $ 211.29
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
$ 211.29 Total $ 211.29
October 1,2018
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
FRUMMED ST STATE HOARD OF ACCOUNTS
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AUTO LICENSE NO.
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by faced mileage or official highway map. V V
Pursuant to the provisions and penalties of Chapter 15S,Acts 1853,I hereby certify that the foregoing account is just and cfter allowing all jn edits
and that no part of the same has been paid. orrect,that the amount claimed is legally due,a
Date t
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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 isle due,afte�allowfng all just credits'.
and that no part of th��ame has been paid.
Date— 01.-zb _
SEP 282018
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AUTO LICENSE NO.
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+ 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. Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is leg due,after allowing all just credits
and that no p rt Of the same has been paid.
Date �. L�b .
5EP L82 010
P"Y: ..................