HomeMy WebLinkAbout214128 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 366657 Page 1 of 1
ONE CIVIC SQUARE HOPE WOOSLEY
` CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $11.10
CHECK NUMBER: 214128
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 11 . 10 TRAVEL FEES & EXPENSE
IRUCRUM0 R Mat BOARD or ACOOMM 0002"-M 10.101 am
MILEAGE CLAIM
TO
u ON ACCOUNT OF APPROPRIATION NO: FOR
FROM TO AUTO mn2k=
ici_ POINT PO11iT START �a FdtI9A HATOU OF eV�SB ® ��f.S •Pl;a bm
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AUTO UCSNRti NO. TOTALS
+ SPEMM MM READING oolumns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
. PnrRnant to the provfetoes and penalties of Chapter 155,Acts 1893,I hereby certify that the foregoing account it just and correct,that the amount claimed is legally due,after allowing all just credits:
end that no part of the same has been paid. 3
Date
qq
0 q[.-(O,- OCT 2
IB
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.
Woolsey, Hope Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/2/12 Reimb Mileage 10/1 - 10/2/12 $ 11.10
Total $ 11.10
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.
Woolsey, Hope Allowed 20
In Sum of$
$ 11.10
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept#
1081-10 Reimb 4343000 $ 11.10 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
18-Oct 2012
Signature
$ 11.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund