HomeMy WebLinkAbout332957 12/06/18 CITY OF CARMEL, INDIANA VENDOR: 372981
ONE CIVIC SQUARE JASMINE HAZELWOOD CHECK AMOUNT: $•'•""•`""51.78'
CARMEL, INDIANA 46032 GREEN W asiao CHECK NUMBER: 332957
CHECK DATE: 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 51.78 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Hazelwood,Jasmine 139A151 Payee
34 Colony Ct
Greenfield, IN 46140 In Sum of$ Purchase Order#
Hazelwood,Jasmine Terms
$ 51.78 34 Colony Ct Date Due
Greenfield, IN 46140
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#ornvolce Description
Dept# INVOICE N0. ACCT#IrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-5 Reimb 4343000 $ 51.78 Board Members 9/26/18 Reimb Mileage 2/5-9/26/18 $ 51.78
1 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
$ 51.78 Total $ 51.78
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
20_Accounts Payable Coordinator Clerk-Treasurer
Title
L.72018
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? NOV 2
BY:.
I GENERAL COAH 110.101 11986)
PRESCROED RY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
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JoovEAN►tErr� I. ON ACCOUNT OF APPROPRIATION NO. FOR
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SPEEDOMETER AUTO MMEAGE
DATE FROM TO READING .f- MILES ® 1 .s
POINT
— NATURE OF BUSINESS TAANELED
POINT START I FINISH PER MILE
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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 jccouni is just and correct,that the amount claimed is legally due,after allowing all just credits;
end that no part of the s me has been paid.
Date Q 11 ,90
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