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212109 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366497 Page 1 of 1 ONE CIVIC SQUARE ERIC ABBENHAUS CHECK AMOUNT: $52.12 CARMEL, INDIANA 46032 CHECK NUMBER: 212109 CHECK DATE: 8128/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343000 REIMB 52 . 12 TRAVEL FEES & EXPENSE PIVSCAIACD BY STATE HOARD OF ACCOUNTS GENFAAL FOAL 110,lot tlM) � P, MILEAGE CLAIM �� ro (GOVERNMENTAL UNITI ON ACCOUNT OF APPROPRIATION NO. FOR (oFI-ICE,HOARD,DEPMTicDa on wnintr)os) DATE FROM — To SBEED + OM ER AUTO �EAG�E 2•�1.E POINT POINT START FINISH NATURE OF BUSINESS TRAVELED' 7 �-"'" PER MILE L Id lam . on e—r 1 a' d A e— Z"C"-a � CIS �---- ,,r„F, '. Z 2. OA C1�w IrHtt?c ;�', ?,Z 1.00f y vs��r, vet P Swtw w.;n I L4 2_ 7 t "D 3 Li.rz I sc) l Ca F (M.e C. S t +'a+l�.R. �•�;ti'`:;rR��' S4.�:dln►w;n ?. 1 1 Ldp rte- e, Sc.."t e,+\'V,r S�rtn..Fn^.v+ 2-2•_. AA,. ^-tl--C' �Jtw�tn✓+dw�.h. 2-Z. 25.7 IG� t' SG LLCM F4 IQ� fPl �. Z - 1 C l o rimy\ 1 t rti F�+e1 2- 2 2_ ft dv Ctta. Aki An'k t: '-SC ( ..>,. I-off ny% Z- eK 2 C�r7wY iAAI tf Ve' i 'GfM R°A: t i _U I!L,_ \@. 1 a _ 1/ �..��;v �ti^•i�n�iir�. tea., ti ►�121Yi ���'.th°�+c.d° St d��r � -Its I Q,l911'4 � dte.. S�"Ql k /to = C�ter zz c Nis r< C Z - 7/1`1 G4. ate 1�. grV+•ef_ / 9 0.ua v . 'StAmal 7.`f _ G>a +t dER .aG t^ .� a a'v\ H �.• L�_ AUTO LICENSE NO. TOTALS ills-0111 SZ 1Z + 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 penaltie's of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all just credits that no of the same has been paid. (� �tK. �.�✓V` Datat e 11(.., f/ ? �--�- 1 J� ` ��^_ AUG 22 202 i 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. Abbenhaus, Eric Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/4112 Reimb Mileage 5/29 - 8/2/12 $ 52.12 Total $ 52.12 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. Abbenhaus, Eric Allowed 20 In Sum of$ $ 52.12 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1082-1 Reimb 4343000 $ 52.12 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 23-Aug 2012 Signature $ 52.12 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund