HomeMy WebLinkAbout332914 12/06/18 y oY-�1ay
\� CITY OF CARMEL, INDIANA VENDOR: 372564
ONE CIVIC SQUARE BENJAMIN LEGGE CHECK AMOUNT: $********88.29*
CARMEL, INDIANA 46032 11540 HAGUE ROAD CHECK NUMBER: 332914
FISHERS IN 46038 CHECK DATE: 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343004 REIMB 88.29 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 372564 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BENJAMIN LEGGE IN SUM OF$ CITY OF CARMEL
11540 HAGUE ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
FISHERS, IN 46038
Payee
$88.29
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Department of Law Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
Benjamin 43-430.04 $88.29 1 hereby certify that the attached invoice(s),or 11/30/18 Benjamin $88.29
1180 101 1180 101
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
Friday, November 30,2018
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Couos.IA
I 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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM �
Cit of Carmel, Indiana l-J
(GOVERNMENTAL UNIT)
Department of Law - 1180 ON ACCOUNT OF APPROPRIATION NO. 434-3004 FOR Mileage
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER Al
DATE READING +
20iNATURE OF BUSINESS M]
POINT POINT START FINISH J TRA'
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AUTO LICENSE NO. TOTALS 16`
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway Imap.
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*du owing
-and that no prt of the same has been paid.
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