HomeMy WebLinkAbout211633 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 366466 Page 1 of 1
ONE CIVIC SQUARE JONATHAN BANEY
�tra CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $71.93
CHECK NUMBER: 211633
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 71 . 93 TRAVEL FEES & EXPENSE
PRESCRIBED BY STAE BOARD OF ACCOUNTS ��� GFNT.p AL FORM 110.101(198fl
n MILEAGE CLAIM hk�/ TO
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO.
FOR
(OFFICE,BOARD.DVAATUX:KT OR INSr=108)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING +
L�_ pOINT POINT START FINISH NATURE OF BUSINESS TRAVELED _ 555
PER MILE
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— i
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. -19T/�\L--. t?--It ,7�
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 s legally d ul,after allow" g all jusV67edits
end that no pa of the sam h been paid.
Date
AUG 08 2012
E
i
��7,
MSCRIBED BY STATE BOARD OF ACCOUNTS GENUAL FORT/110.101(19061
(2- MILEAGE CLAIM G�
(OOVFANM CNTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF710E,BOARD,DFSAIMCDa OR 1NSrtTUr10N)
FROM TO SPEEDOMETER
uDAT5 READING +RT FINISH TRAVELED
AUTO MILEAGE
POINT POINT START NATURE OF BUSINESS AV
Z ELED t
P MILE t``'om
fo a Lvv Glea.K %4,K
r Tr, a--
— 11
V\-4 ✓l I
- 6,L'�C' tom--
�v 2
I WLv
Z 0 v\r"
o✓ Imo.tom- l t a.
G V\ v L^—
Ail-=4 ( vt ;�LGw '�I ; p �pv
l ( L- f L
AUTO LICE)E NO. TOTALS
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
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 claime is le4du., z all all ' st credits,-
and that n 7, e as been paid.
Date �— �-
����, AUG 0 82 012
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.
Baney, Jonathan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/3/12 Reimb Mileage 5/29 -7/31/12 $ 71.93
Total $ 71.93
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.
Baney, Jonathan Allowed 20
In Sum of$
$ 71.93
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-1 Reimb 4343000 $ 71.93 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
$ 71.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund