HomeMy WebLinkAbout333697 12/19/18 y pf c�q�
CITY OF CARMEL, INDIANA VENDOR: 369753
ONE CIVIC SQUARE CHRISTIAN AMARO CHECK AMOUNT: $*******1 18.05*
z9` 1a� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 333697
'',ETON CHECK DATE: 12/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 118.05 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 369753 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Amaro,Christian Payee
6039 Polonius Court
Indianapolis, IN 46254 In Sum of$ Purchase Order#
369753 Amaro,Christian Terms
$ 118.05 6039 Polonius Court Date Due
Indianapolis,IN 46254
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#ornvoice Description
Dept# INVOICE NO. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-11 Reimb 4343000 $ 118.05 Board Members 12/11/18 Reimb Mileage 8/6-11/20/18 $ 118.05
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
$ 118.05 Total $ 118.05
December 11,2018
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 Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
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DECI 12018
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PRECRIUED BT STATE BOARD OF ACCOUNTS .. ..
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MILEAGE CLAIM uL
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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 i eg lly due,after aliot in all Iust credits.
end tht o art of the same has been paid.
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PHESCRIHED 8Y$ATE BOARD OF ACCODNTH GENERAL FORM NO.101(1886)
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AUTO LICENSE NO. TOTALS 2 �1
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. l
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 lly due,after lfowinq all just credits;
end that no p rt of the same has been paid.
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PMCRIDED BY STATE BOARD OF AMOUNIS
BY. GERERAL FUAT7 RG JAI N�'bl
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AUTO LICENSE NO. TOTALS !•1• 1 `o,
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot he 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 l ally due,after aliow' all lust credits.
and that no art of the same has been paid.
Date