HomeMy WebLinkAbout201229 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365463 Page 1 of 1
ONE CIVIC SQUARE MATTHEW GREGORY
CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $89.10
CHECK NUMBER: 201229
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 89.10 TRAVEL FEES EXPENSE
PRESCRIBTD BY STATr BOARD OF ACCOUNTS GENERAL FORL HO. 104 {In&)
MILEAGE CLAIM
(GOVERNMENTAL Min
ON ACCOUNT OF APPROPRIATION NO. FOR
(OPiICE, BOARD, DUAATHENT OR 1RSTRUnON)
SPEEDOMETER
FROM TO AUTO ►���TSAG
DATE READING NATURE OF BUSINESS MnES
v POINT POINT START FINISH 7'RAVELBD PER MILE
0 Gl IL 0 S
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AUTO LICENSE NO, TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1983, I hereby certify that the foregoing account is just and correct, that the amount claimed is le ally ue, after aliowinq all ju credits r
and that no part the same has been paid.
Date 1�_
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
365463 Gregory, Matthew Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/31/11 Reimb Mileage 8/2 8/31111 89.10
Total 89.10
E hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No,
365463 Gregory, Matthew Allowed 20
In Sum of$
89.10
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT #1TITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 89.10 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
8 -Sep 2011
Signature
I 89.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund