HomeMy WebLinkAbout214580 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366707 Page 1 of 1
ONE CIVIC SQUARE SHANNON BULINGTON
' CARMEL, INDIANA 46032 CIO ESE CHECK AMOUNT: $18.87
lOM
CHECK NUMBER: 214580
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 18 . 87 TRAVEL FEES & EXPENSE
PAtSCMVED BY MATr 10AA,'3 OF ACCOUNTS rEXUAL FOAM]IC ICI f:4d 57
MILEAGE CLAIM
U)Tril ON ACCOUNT OF APPROPRIATION NO, FOR
B0004P,DUARTMW 09 WSMIMOK)
-�FFET5—omfun
DATE FROM TO j READING + AUTO wl EAGi�
Za 11, — — NATURE OF RVSINESS MILES @y 5 .v5 C
POINT POINT KART FINISH TRAVELED PER MILE
5_� Bye C' 9�)_6
_5rua
to 35
it.
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AUTO LICENSE NO. TOTALS
+ SPEFDOMETER READING columns are to be used only when distance between points Cannot I be determined by fixed mileage or official highway asap.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,1 hereby certify that the foregoing account Li just and correct,that lbrqmount claimed is legally due,after allowing all)ust credits
and that no part of the same has been paid, Iz
Date
NOV 0 7 Z012
71-4
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.
Bulington, Shannon Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/30/12 Reimb Mileage 10/21/12 $ 18.87
Total $ 18.87
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.
Bulington, Shannon Allowed 20
In Sum of$
$ 18.87
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 18.87 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
15-Nov 2012
Signature
$ 18.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I