HomeMy WebLinkAbout211640 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 366401 Page 1 of 1
ONE CIVIC SQUARE LORNE BAXTER
' CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $13.93
CHECK NUMBER: 211640
CHECK DATE: 8114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 13 . 93 TRAVEL FEES & EXPENSE
P R slue soAW or Acman 6n1nIAL PclM a0.101(1000!
MILEAGE CLAIM �.�(Dy—h CJ
At
ON ACCOUNT OF APPROPWATION NO FOR
as
FROM To RRADIIJQ AUTO DIdEAQY
NATt>RY OF Bt13RiR38
POINT POINT START F=R M im
7
it q Uri
to a
AUTO LICSNSS NO. TOTS o�5 I 3 `�� V/
+ SPEEDOWMM READING columns an to be teed only when distance bahveen points cannot be determined W fixed mileage or official highway map.
Nrausnt to the pronW=u and penalties of Chapter 199,Acts 1893,I hereby certify that the foregotag account is just and correct.that the amount claimed is legally due,after Ming all ivat eradits:
and that po part of a same has been paid.
Date c.� .
�'r ) AUG 082012
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.
366401 Baxter, Lorne Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/3/12 Reimb Mileage 7/10 -7/26/12 $ 13.93
Total $ 13.93
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.
366401 Baxter, Lorne Allowed 20
In Sum of$
$ 13.93
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE N0. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-1 Reimb 4343000 $ 13.93 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
9-Aug 2012
Signature
$ 13.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund