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HomeMy WebLinkAbout215264 12/10/2012 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1 ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $162.00 CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE •. _o� CARMEL IN 46033-9501 CHECK NUMBER: 215264 CHECK DATE: 12/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4343004 156 . 50 MILEAGE 1701 4343004 5 . 50 PARKING AFFIDAVIT FOR EXPENSES I,Diana L. Cordray, incurred expenses while traveling to IACT meetings in Indianapolis, IN. Those expenses on November 19, 2012 ($1.50) and December 5, 2012 ($4.00) were for parking for a total of$5.50. Diana L. Cordray Clerk Treasurer December 10, 2012 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or 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. 0 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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. 1 ALLOWED 20 6 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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 20 .AL44KAuU&-LO W47 Signat Cost distribution ledger classification if Title claim paid motor vehicle highway fund Prescribed by State Board of Accounts General Form No.101 (1955) MILEAGE CLAIM TO DR. �j -- (Governmental Unit) yed- On Account of Appropriation No. for (Office, Board, Department or Institution) DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE @ , .5S-5 20 Point Point Start Finish TRAVELED PER MILE Auto License No. TOTALS * 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 penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount clai d is legally due, after allowing all just credits, and that no part of the same has been paid. Date /6'e' /'q �� Claim No. Warrant No. I have examined the within claim and hereby certify as follows: IN F VOR OF That it is in proper form; I That it is duly authenticated as required by law; That it is based upon statutory authority; That it is apparently correct $ incorrect On Account of A P5A)-,M opriation No. 1 for Disbursing Officer Allowed 20 (D ¢ in the sum of $ o � O ID N 5. �� x (D FD o (D(Boc¢d or commission) Mo O FILED N p o O R m m m Ch C m (Official Title) O 0 (CD ¢