HomeMy WebLinkAbout211000 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
i ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $12.00
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE
C/O MAYOR'S OFFICE CHECK NUMBER: 211000
CHECK DATE: 7117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343001 12 . 00 TRAVEL FEES & EXPENSE
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Affidavit
No Receipt—Parking Fee
I certify that I incurred the following parking fee and didn't obtain a receipt:
Date Location Amount Reason for Travel
7/12/2012 Indianapolis Museum of Art $5.00 Luncheon Meeting
Central Indiana Regional Conference
of Elected Officials
TOTAL $5.00
J es Brainard, Mayor
oc � _
Date
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash - Steve Engelking
IN SUM OF $
One Civic Square
Carmel, IN 46032
$12.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Affidavit 43-430.01 $5.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1160 Receipt 43-430.01 $7.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, July 13, 2012
r
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
07/12/12 Affidavit $5.00
07/12/12 Receipt $7.00
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