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HomeMy WebLinkAbout200086 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1 ONE CIVIC SQUARE JESSICA RICHARDS CHECK AMOUNT: $57.98 CARMEL, INDIANA 46032 1832 N GLENDORA DR INDPLS IN 46214 CHECK NUMBER: 200086 CHECK DATE: 8/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343000 REIMB 57.98 TRAVEL FEES EXPENSE PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. IN (1986) MILEAGE CLAI qi tC h Q C TO (aOVERN)dENrAL i1NiT1 ON ACCO T OF APPROPRIATION NO. FOR (OF.ICE, BOARD, DEPARTMENT OR INS7mnioN) SP DATE FROM TO READING TFR AUTO MILEAGE READING NATURE OF HVSINE56 MISS TRAVELED POINT START FINISH PER MILE lu— OP �0 n Q SI1 ebb No"- tc,5 m co ra ti r TI'S D 4P D? S LP- 'J Vt ov 2 I a r AUTO LICENSE NO- TOTALS I 2 SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. J Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the loregoing account is lust and correct, that the amount claim is legally due, afte gall just credits and that no part of the same has been paid. w Date Z 4 10 i BY:... ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 364657 Richards, Jessica Terms Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) PO 57.98 6123/11 Reimb Mileage 616 6/23/11 Total 57.98 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 20_ Clerk- Treasurer Voucher No. Warrant No. 364657 Richards, Jessica Allowed 20 In Sum of I 57.98 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1082 -6 Reimb 4343000 57.98 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 26-Jul 2011 Signature 57.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund