HomeMy WebLinkAbout331987 11/07/18 CITY OF CARMEL, INDIANA VENDOR: 359285
a/
® ONE CIVIC SQUARE VALESKA SIMMONDS CHECK AMOUNT: $*******101.37*
CARMEL, INDIANA 46032 2703 E LYNN ST CHECK NUMBER: 331987
ANDERSON IN 46016 CHECK DATE: 11/07/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 101.37 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 359285 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Simmonds,Valeska Payee
2703 E Lynn St
Anderson, IN 46016 In Sum of$ Purchase Order#
359285 Simmonds,Valeska Terms
$ 101.37 2703 E Lynn St Date Due
Anderson, IN 46016
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or nvolce Description
Dept# INVOICE N0. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-4 Reimb 4343000 $ 101.37 Board Members 10/24/18 Reimb Mileage 9/24-10/26/18 $ 101.37
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
$ 101.37 Total $ 101.37
October 30,2018
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 s
Cost distribution ledger classification if 'PAMj0"UAJ
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
OCT 2 6 2010
1?AFSCAIAEp BY ArAiE AOAAb OF ADCOlTN75 /y,/� . - ............................
✓✓""��V� G6NFAAL toAN NO.101(1986)
MILEAGE CLAOIM a '
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ON ACCOUNT OF APPROPRIATION NO. FOR
(MICE,AOAAD,DFpM OA 1N.9TirUrIDN1
DACE FROM TO SPEEDOMETER
READING + AUTO MILEAGE
POINT POINT STARTFINISH NATURE OF BUSINESS MILES
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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 of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all st credits;
end that no-part of=.the same has been pard
Date �i.�Zu=�
OCT 2 6 2010
PRESCNIBED BY RTATE BOARD OF ACCOMMBY...............................
ar a FORM NO.IOI(1886)
MILEAGE CLAIM
�S TO
(GOV91N/dENfAL lTNn]
ON ACCOUNT OF APPROPRIATION NO. FOR
tovWcE,BOARD,DEPARTUMMT OA DLgrmmoN)
DATE FROM TO SPEEDOMETER
READING + AUTO MILEAGE
POINT POINT START FINISH NATURE OF BUSINESS MILES ® e
TRAVELED PER MILE
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AUTO LICENSE NO.
TOTALS CILry
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
5aa
Pursuant to the provisions and penalties of Chapter ISS,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all st credits;
and that no part of the sa ?e has bean paid.
Date
I�LI� H3�3 °06