333276 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 371363
® ONE CIVIC SQUARE DONNA AIKEN CHECK AMOUNT: $*******158.04*
CARMEL, INDIANA 46032 ESE EMPLOYEE CHECK NUMBER: 333276 ,
"AIroN-cam CHECK DATE: 12/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 158.04 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 371363 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Aiken, Donna Payee
426 Thornberry Drive
Carmel, IN 46032 In Sum of$ Purchase Order#
371363 Aiken, Donna Terms
$ 158.04 426 Thornberry Drive Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-7 Reimb 4343000 $ 158.04 Board Members 11/28/18 Reimb Mileage 10/9-11/28/18 $ 158.04
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
$ 158.04 Total $ 158.04
December 3,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
'P1&//ter,,,ft`s) with IC 5-11-10-1.6
Cost distribution ledger classification if f'l
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
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NOV 2 9-2010
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BY:.................==LL=!J
L)Cnr�) CA,
PRESCRIBED BY SPATE BOARD OF ACCOUNTS
1 GENERAL FORM No.101(1886)
MILEAGE CLAIM Q l J/p �
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UNIT)
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ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE.BOARD,DBPARIM NT ON UtsTMITION)
ATT FROM TO SPEEDOMETER
14. READING + AUTO AGH
POINT POINT START FINISH NATURE OF BUSINESS MILES ® C
TRAVELED PER MILE
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AUTO LICENSE NO. TOTALSAS
+ 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 clat ed is le ly due,after allow'
end that no part of the same has been paid. a st credits,
Date
6VOV 2- 9 2010
BY: ...................