HomeMy WebLinkAbout332955 12/06/18 CITY OF CARMEL, INDIANA VENDOR: 358411
�/ (• ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $*******410.39*
CARMEL, INDIANA 46032 323 NORTHERN AVENUE CHECK NUMBER: 332955
INDIANAPOLIS IN 46208 CHECK DATE: 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 410.39 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 358411 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Hammons,Jennifer Payee
323 Northern Ave
Indianapolis, IN 46208 In Sum of$ Purchase Order#
358411 Hammons,Jennifer Terms
$ 410.39 323 Northern Ave Date Due
Indianapolis,IN 46208
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or INVOICE N0. ACCT.#rrITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-10 Reimb 4343000 $ 410.39 Board Members 11/18/18 Reimb Mileage 1/9-7/30/18 $ 410.39
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
$ 410.39 Total $ 410.39
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
NOV 2 7 2018
..............................
'PRESCHMED BY STA7Z BOARD OF ACCOONiS 0ENERAL.FORMINo.101;(1986)
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+ SPEEDbmETER READING columns are to be usedonly when distance between points cannot be determined by:fixed mileage or,.official highway.map.:
Pursuant to the provisions andpenalties of Chapter 155,;Acts•1953;Ihereby=certify that the foregoingaccountis:just andcorrect',thatahe amount claimed is legally due,after al owing alt just credits;
and that;;no part of theQ"same"has been paid.
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"PRESCRIBED BY.STATE BOAHI�of ACCOUATS GENERAL'FORM IM,101 0996)
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AUTO LICENSE NO. TOTALS.
+ SPEEDOMETER READING columns arerto be used Only,when distance between points cannot be determined by'rfixed'mileage or official;highwayrmap..
Pursuant to the provisions aA&penalties of Chapter 155j,Acts 1953;:1 hereby'cert04hat the foregoing accounHs:just and correct;,that.the amount claimed-is legally,du ,after allowing all A -redits
and thai'no paiiii.of the'same.has been paid,.
Date..
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