HomeMy WebLinkAbout332916 12/06/18 CITY OF CARMEL, INDIANA VENDOR: 372980
�/ �,• ONE CIVIC SQUARE AARON BOSKOVICH CHECK AMOUNT: $********27.80*
: CARMEL, INDIANA 46032 14550 COTSWOLD LANE CHECK NUMBER: 332916
9a;,,toN a' CARMEL IN 46033 CHECK DATE: 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 27.80 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Q� Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Boskovich,Aaron Payee
14550 Cotswold Lane
Carmel, IN 46033 In Sum of$ Purchase Order#
Boskovich,Aaron Terms
$ 27.80 14550 Cotswold Lane Date Due
Carmel, IN 46033
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-2 Reimb 4343000 $ 27.80 Board Members 10/30/18 Reimb Mileage 8/17-10/15/18 $ 27.80
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
$ 27.80 Total $ 27.80
November 28,2018
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
V � �;
NOV 272M
GENERAL FORM 110.)8)11986)
PRCSCRiBCD 87 STATE HOARD OF ACCOUNTS ],,
Q U MILEAGE CLAIM �S�I�IC�' I BX:..............................
IGlf�77 r TO
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(00VEANMEN AL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
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(OF110E,BOARD,DEPARTUM(r @(MNSRTUTION)
SPEEDOMETER AUTO l(ILEAGE
DATE FROM TO READING .+ MILES ® _� E
A— POINT NATURE OF BUSINESS1AAi)ELED
POINT START FINISH PER MILE
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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,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due, it allowing all just credits.
end that no part of the same has been paid.
Date ���✓�
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