HomeMy WebLinkAbout331721 10/30/18 CITY OF CARMEL, INDIANA VENDOR: 362732
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F ONE CIVIC SQUARE PAMELA LISTER CHECK AMOUNT: $********43.05*
s` /a CARMEL, INDIANA 46032 11598 MANSFIELD PLACE CHECK NUMBER: 331721
*aa CARMEL IN 46032 CHECK DATE: 10/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343004 43.05 TRAVEL PER DIEMS
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Claim No. Warrant No. I have examined the within claim and
hereby certify as follows;
,I IN FAVOR OF
That it is in proper form;
J / i That it is duly authenticated as requi
by law;
That it is based upon statutory author
/ That it is apparently correct
a5 I incorrect
On Account of Appropriation No. —e 7 for
Disbursing Officer
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Allowed 20
in the sum of$ -Z15, G
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(Board or Commission)
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FILED m
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(oiflcial Title)
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Prescribed by State Board of Accounts G
MILEAGE CLAIM
TOplEEF
(Governments nit)
j A-dCa /Lc� �Q'� On Account of Appropriation No. for
(Office,Board,Depa ment or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES
20-1,kPoint Point Start Finish TRAVELED
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f
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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, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due,'after
allowing all just credits, and that no part of the same has been paid. i
Date