207478 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 364243 Page 1 of 1
,I ONE CIVIC SQUARE JORDAN HILL
i` CARMEL, INDIANA 46032 21477 ANTHONY Rd CHECK AMOUNT: $86.90
NOBLESVILLE IN 46062 CHECK NUMBER: 207478
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 86.90 TRAVEL FEES EXPENSE
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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.
364243 Hill, Jordan Terms
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
219112 Reimb Mileage 11/10/11 219112 86.90
Total 86.90
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.
364243 Hill, Jordan Allowed 20
In Sum of
86.90
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept
1081 -11 Reimb 4343000 $6.90 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
22 -Mar 2012
Signature
86.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund