HomeMy WebLinkAbout331294 10/17/18 y or_CAgM
CITY OF CARMEL, INDIANA VENDOR: 371363
`� \\. CHECK AMOUNT: $********98.92*
.I; ® , ONE CIVIC SQUARE DONNA AIKEN
=a ?� CARMEL, INDIANA 46032 ESE EMPLOYEE CHECK NUMBER: 331294
''�tTaN�• CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 98.92 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 371363 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Aiken, Donna Payee
426 Thornberry Drive
Carmel, IN 46032 In Sum of$ Purchase Order#
371363 Aiken, Donna Terms
$ 98.92 426 Thornberry Drive Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-7 Reimb 4343000 $ 98.92 Board Members 10/9/18 Reimb Mileage 8/17-10/9/18 $ 98.92
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
$ 98.92 Total $ 98.92
October 10,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correctand 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
C`(-e-55-
q2C�
PAESCBIAED BY STATE BOARD OF ACCOUNTS
GENERAL FOAM NO.101(1006)
MILEAGE CLAIM �r
TO \
(DOVE MMENTAL UWT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEYAA OA ON)
�D{►TE FROM TO SPEEDOMETER
`� P READING + AUTO IAMAGE
POINT POINT START FINISH NATURE OF BUSINESS MILES ® jq.� C
_ TRAVELED PER MILE
in
e
29 - --
-- .
Yff
-S- - - --
VhMAA
1M
Wt C
L
e
2
C �
W%Ct
me R1 C-
`v L
FK
c
e
AUTO LICENSE NO. TOTALS I Q 1
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 'U® '
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,
end that no part of the same has been paid. I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all just credits..
Date
r7Y: t o [ g
f