HomeMy WebLinkAbout202099 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 365676 Page 1 of 1
ONE CIVIC SQUARE JESSICA EVANS
CARMEL, INDIANA 46032 C/O PARKS CHECK AMOUNT: $86.58
s.f( CHECK NUMBER: 202099
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 86.58 TRAVEL FEES EXPENSE
PRPSCRI9EO BY STATE BOARD OF ACCOUNTS GENERAL FORM IIG. ICI [1496}
MILEAGE CLAIM
TO
1 OO V ERNM ENrAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPART6M(T ON INSMITION)
FROM TO ----SPEEDOMETER AUTO MILEAGE
DATE 11. READING NATURE OF BUSINESS ES �✓_�1_�J
Zb. POINT POINT START FINISH TAAV£LED PER MILE
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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. PW
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits fff
and that no part of the same has been paid.
Date
2011 1.
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.
Evans, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/1/11 Reimb Mileage 8/1 9/1/11 86.58
Total 86.58
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