HomeMy WebLinkAbout211842 08/14/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 366333 Page 1 of 1
0 ONE CIVIC SQUARE JEFFREY LEE
CARMEL, INDIANA 46032 CIO PARKS CHECK AMOUNT: $54.95
CHECK NUMBER: 211842
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 REIMB 54 . 95 TRAVEL FEES & EXPENSE
r1X==D n AlAE aDAla OF ACCOMIS aomuc�CaY No.10 am
MILEAGE CLAIM �
To. r�tZ tY
035WORL-WAMUM
ON ACCOUNT OF APPHOP1tIATiON ti0: FOR
DATE nom TO apmaxna
READ1tPPa AUTO �3AfiI
POINT POMT STA" F1 MR NATUBY OF 8U9INttStt T ®�_ t
PBB 1t0.E
0 G J� QY1
CY I.i Y
p
Y
k 15 A a
' f t rWSkrVL C V1 .Y
•Y K%CL Y
e \ L\ C AS VVXUXiAVvk .
�a r kc
AUTO Id=SZ NO. AIg J✓ /�:
+ SPESDOMFM READING colmmns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. `1
Pursuant to the provisions and penalties of Chapter 155,Acts 1993,I hereby certify that the foregoing account is lust and correct.that the amount claimed is us, t alt
end that n part of the same has been paid. tf ari nst credits,
Date L2:
�� f AUG 0 7 2012
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.
366333 Lee, Jeffrey Terms
1452 Trail Creek Ct
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/2/12 Reimb Mileage 7/10 - 8/1/12 $ 54.95
Total $ 54.95
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.
366333 Lee, Jeffrey Allowed 20
1452 Trail Creek Ct
Carmel, IN 46032
In Sum of$
$ 54.95
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1082-1 Reimb 4343000 $ 54.95 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
$ 54.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund