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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 t DECI 12018 .�. .. GFRU71L FORM NG 101 119Pbl PRECRIUED BT STATE BOARD OF ACCOUNTS .. .. nye ..... MILEAGE CLAIM uL taovmxF/ eLL�t(1/�M ' (JT ON ACCOUNT OF APPROPRIATION NO. FOR -_ (OFFICE,BOARD.DEPARTRIM OR IN �1D(xt� -- ` AUTO )JILF-AGE 2DATE_ FROM -- — TO I READING t �(D� NATURE OF BUSINESS MILES t} POINT POINT START FINISH TRAVELED PER MILE LY e— L W ' 1A)r12 — — h i --- — --^ — — — --^ , - --'-- ro -- ro — ,�. yJ c.lw — — v�, _Ic�1fLELI- E 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. Bate 9 poto�111AS ' (�� �� EBY.DE � 12018 PHESCRIHED 8Y$ATE BOARD OF ACCODNTH GENERAL FORM NO.101(1886) ................. v1 J l—� MILEAGE CLAIM it, �nn GOV ENTAL DN1T7 ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE,BOARD,DEPARTbMW O8 DL MMION) DATE FROM TO RE DIIN�G+ AUTO MILEAGE i+ g POINT POINTSTART FINISH NATURE OF BUSINESS MILES ® .Sq Y_ `ooh TRAVELED PER MILE -7 VJS VV11C'(_ 3 � vJ t] .3 UJ tNl LL W6 yi1 3 v�6 ' l,cr� JvLLf✓ w1 GC— W (n (e W 1, CL- 3 M L vJ W e) Vh r,L L wA vJ 19, MCI— VM 6L W W L15 L W YVb L W �-• WI L # • 1 3 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. Date�? I 8 3b-oq Rr 1 I�� lsf I,J AEC : 1 2018 PMCRIDED BY STATE BOARD OF AMOUNIS BY. GERERAL FUAT7 RG JAI N�'bl --- cr.O! - -VERN ENTAL tINTn ON ACCOUNT OF APPROPRIATION NO. FOR .— •' tOF.-ICE,BOARD,DEPAR'nn7fr OB INSTITUTION) •-fir FROM — TO II" SR£AD M � AUTO WUEAGE OA,Tgggp _ NATURE OF BUSINESS MILES 0 C Za POINT POINT START FINISH TRAVELED PER MILE G194�- - + _ — lug fnI GL - VM cL WA via [, a C �GM I � AUTO LICENSE NO. TOTALS !•1• 1 `o, 516 + 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