HomeMy WebLinkAbout332921 12/06/18 CITY OF CARMEL, INDIANA VENDOR: 358408
ONE CIVIC SQUARE TIFFANY BUCKINGHAM CHECK AMOUNT: $*******109.00*
CARMEL, INDIANA 46032 5057 E 71ST STREET CHECK NUMBER: 332921
INDIANAPOLIS IN 46205 CHECK DATE: 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 109.00 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 358408 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Buckingham,Tiffany Payee
5057 E 71 st Street
Indianapolis, IN 46205 In Sum of$ Purchase Order#
358408 Buckingham,Tiffany Terms
$ 109.00 5057 E 71 st Street Date Due
Indianapolis, IN 46205
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 $ 109.00 Board Members 11/16/18 Reimb Mileage 7/5-11/14/18 $ 109.00
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
$ 109.00 Total $ 109.00
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
Ell .
wov2 X2018
GENERIU.FORM 710.Sol 11986)
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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 1 ally due,after allowing all just credits;
rnd that no part of the same has been paid. _ `A �►�1/\
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