HomeMy WebLinkAbout216788 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 366785 Page 1 of 1
ONE CIVIC SQUARE BONNIE LEWIS
` CARMEL, INDIANA 46032 C/O COURT CHECK AMOUNT: $13.00
CHECK NUMBER: 216788
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4343004 13 . 00 TRAVEL PER DIEMS
AFFIDAVIT FOR EXPENSES
I, Bonnie M. Lewis, incurred expenses while attending the JTAC QCSR
training in Indianapolis, IN on December 4, 2012. These expenses
totaled $13.00 for parking at the Denison Parking Garage.
Bonnie M. Lewis
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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.
L�w Pay ee
) _s- Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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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.
ALLOWED 20
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
30
50,U 13,0) 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
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Signat U q�,v
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund