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HomeMy WebLinkAbout201307 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 364002 Page 1 of 1 ONE CIVIC SQUARE ASHLEY LIVINGSTON CARMEL, INDIANA 46032 CHECK AMOUNT: $79.92 3404 WOODFRONT PLACE INDIANAPOLIS IN 46222 CHECK NUMBER: 201307 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 79.92 TRAVEL FEES EXPENSE PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAL 110. 101 (1986) MILEAGE CLAIM ro (GOVERNMENTAL UNIT) ON ACCOUNT OF APPRNPRIATION NO. FOR (OFFICE, BOARD, DEPARTMEWT OR INST=108) SPEEDOMETER AUTO MMEAGE DATE FROM To I READING NATURE OF BUSINESS MILES a 2 POINT POINT START FINISH TRAVELED PER MAC 2, mlffrYorN AU4 -4 C51� Z h CT l i I AUTO LICENSE NO. TOTALS Q q2 TOTALS '"i I SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. i 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 legally due, after allowing all just credits and that no part of the same has been paid. Date AUG 1 1U11 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. 364002 Livingston, Ashley Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8/12/11 Reimb Mileage 8/1 8/12/11 79.92 Total 79.92 1 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. 364002 Livingston, Ashley Allowed 20 In Sum of 79.92 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1081 -2 Reimb 4343000 79.92 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 79.92 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund