214657 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 365463 Page 1 of 1
0 ONE CIVIC SQUARE MATTHEW GREGORY CHECK AMOUNT: $101.25
CARMEL, INDIANA 46032 C/O ESE
CHECK NUMBER: 214657
CHECK DATE: 11120/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 101 . 25 TRAVEL FEES & EXPENSE
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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.
365463 Gregory, Matthew Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/17/12 Reimb Mileage 9/13 - 10/17/12 $ 101.25
5� T
Total $ 101.25
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.
365463 Gregory, Matthew Allowed 20
In Sum of$
$ 101.25
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-7 Reimb 4343000 $ 101.25 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
$ 101.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund