HomeMy WebLinkAbout332923 . 12/06/18 `%'��"''�. CITY OF CARMEL, INDIANA VENDOR: 363885
® ONE CIVIC SQUARE SCOTT CAMPBELL CHECK AMOUNT: $*****"*197.30*
9� �ra; CARMEL, INDIANA 46032 C/O UTILITIES CHECK NUMBER: 332923
Ma;oNl�� CHECK DATE: . 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 REIMB 98.65 OTHER EXPENSES
651 5023990 REIMB 98.65 OTHER EXPENSES
VOUCHER NO. 183543 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 363885 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
CAMPBELL, SCOTT CITY OF CARMEL
CARMEL UTILITIES 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,
numbers of units, price per unit,etc.
Payee
98.65 363885 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR CAMPBELL,SCOTT Terms
Carmel Water Utility CARMEL UTILITIES Due Date
BOARD MEMBERS
I hereby certify that that attached invoice
11 (s),
PO# ACCT# or bill(s)is(are)true and correct and that DATE INVOICE# Description
the materials or services itemized thereon
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
REIMB 01-6040-07 $98,65 and received except 12/4/2018 REIMB $98.65
r
�T
1 hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
VOUCHER NO. 186948 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
Vendor # 363885 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
CAMPBELL, SCOTT CITY OF CARMEL
CARMEL UTILITIES 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,
numbers of units, price per unit,etc.
Payee
98.65 363885 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR CAMPBELL, SCOTT Terms
Carmel Wasterwater Utility CARMEL UTILITIES Due Date
BOARD MEMBERS
I hereby certify that that attached invoice
(S),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
REIMB 01-7040-07 $98,65 and received except 12/4/2018 REIMB $98.65
v
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
rrmalbed by Swe Honed of Aeon mts. '
MILEAGE CLAIM "
(GOVERNMENTAL UNIT) TO
ON ACCOUNT OF APPROPRIATION N0. FOR
(OFFICE. BOARD. DEPARTMENT OWINSTITUTION)
SPEEDOMETER q
DATE FROM TO READING+
N
NATURE OF BUSINESS TRP
POINT. POINT START FINISH
1p 1% �,o.w MP,Ns 'l. 1q cN -72o S Wttcttt"OfNe cttwmo 48 3't I HA%RC.coutat met= Cozy ur �
2 1,16 7ZO S FAICL lC W tw ctttC660 :i0 LP MALN 4T CNIAIg-1, 'tti.SLI,
I
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,
and that no pari of the same has been paid.
Datea� — c