HomeMy WebLinkAbout331866 10/31/18 r '1
�%'���� CITY OF CARMEL, INDIANA VENDOR: 364842
a9® \. CHECK AMOUNT: $*******185.90*
��, ONE CIVIC SQUARE KATHLEEN VASIL
ji CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK NUMBER: 331866
y,�TON_E°. CARMEL IN 46033 CHECK DATE: 10/31/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343004 VASIL 185.90 TRAVEL PER DIEMS
Claim No. Warrant No. I have examclaim and
the within claiand
hereby certify as follows:
IN FAVOR OF3��8��
IThat it is in proper form;
That it is duly authenticated as requi
I: by law;
That it is based upon statutory author
$ ��! 7 That it is apparently { rrect
incorrect
On Account of Appropriation No. �jG Pr
Disbursing Officer
O b
Allowed 20 H
�
in the sum of$ d � o �•
m
O
I
(Board or Commission) `y�
I FILED
W
(official Title) ,
t 1 .01
Prescribed by State Board of Accounts C
MILEAGE CLAIM '
To ►�r��k��,�� GIF -� FS-'►��Or��S��s G�If
(Governments nit G
�Jk-aaIL51n,�, c��f -L-n�,en�a�ns -�i,XoakSS-.�� Gd\
l a0"1 On Account of Appropriation No. for
(office,Board,Department or Institution l
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES
201-9— Point Point Start Finish TRAVELED
'?-If-I G1;5 r a 550 03( a-
�-Ic-I
-2f-f95n 5 2(c(v I2
7- -t ig 1 S530'? 53La I2,
5-I 55 315 1I
5-t8
155503 5557-0 1 12-
z 556'0 2
2l0 5S6 6 I-t-
556 S 11-1-
Cl-15- ` 0 5 i 1'L
�1 .55qb5 '55 17
55 IqLfI
010 1I
• -� I s I•9-l'i 5,610 I
-I (o-I S EL-%5- to �-
Ir M5- 49 t�r&'6 kx k re- B S
i 0-I -I - i�o�sGFS K(o933 9 �.
f -;13-1 B 5,4<T-0 0 0 2-110 6 1 1r(v
10-
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. ` f
Date � -02���0 4�-" ', �f°`s