HomeMy WebLinkAbout334231 01/04/19 w_C�q
CITY OF CARMEL, INDIANA VENDOR: 358411
l ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $*******201.65*
CARMEL, INDIANA 46032 323 NORTHERN AVENUE CHECK NUMBER: 334231
M,�roN-�o• INDIANAPOLIS IN 46208 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 201.65 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 358411 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Hammons,Jennifer Payee
323 Northern Ave
Indianapolis, IN 46208 In Sum of$ Purchase Order#
358411 Hammons,Jennifer Terms
$ 201.65 323 Northern Ave Date Due
Indianapolis,IN 46208
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or nvoice Description
Dept# INVOICE NO. ACCT#lrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-10 Reimb 4343000 $ 201.65 Board Members 12/13/18 Reimb Mileage 8/3-10/27/18 $ 201.65
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
$ 201.65 Total $ 201.65
January2,2019
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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GENERAL FORM NO:101;(1986)
PRESCRIBED STsTATE:BOARD OF ACCOUNTS _
MILEAGE CLAIM
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ON ACCOUNT OF APPROPRIATION NO,. :FOR. - -•-
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FROM' TO SPEEDOMETER AMILg
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AUTO LICENSE NO: TOTALS
SPEEDOMETER READING columns are,to be used only when distance between points cannot be determined bylixed mileage or.official`highway:map. 3
Pursuant to the provisions and.penalties'of Chapter 155,Acts 1953,.I hereby,certify that the Iozegoinq account is:' and`correct that the amount claimed-is legally due,after;aliowing'a t credits,
and that no.pa ;of tthhe.:."same has b'ee`n paid,
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Date
�2 o f,
DEC 2 7
2018
�1 BY:.
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