HomeMy WebLinkAbout217289 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366944 Page 1 of 1
` ONE CIVIC SQUARE MEGAN OLSON CHECK AMOUNT: $35.08
C/O ESE
CARMEL, INDIANA 46032
CHECK NUMBER: 217289
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 35 . 08 TRAVEL FEES & EXPENSE
PRESCRIBED BY STATE BOARD UT ACCOUNTS
GENERAL FORM NO.10i 119867
MILEAGE CLAIM
TO mm
1
VER DdEppNT,,A,,L��Ut71T) r/
cc ON ACCOUNT OF APPROPRIATION NO. FOR
lOMCF,B0RB',`0EPPAR OR INSTIFUTION)
DAT FROM TO S SPEEDOMETER T+EA AUTO MILEAGE MILES 01
L PONT POINT START FINISH NATURE OF BUSINESS TRAVELED PER MILE C
5 27 C � 1 11 Ci
ftOGn CWknC _ 11 ?
o d. Zq I Ce4-Ae"(- 11 Z.
9
21 C W yv�Uncrn ce PX ' _ '2.
CA 1 C,W F_ wt c 3Cf
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. •/ �7
Pursuant to the provisions and penalties of Chapter 155,Acts 1953;I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due,after ll just credits
and th;po�paIrt,of the same has been paid.
Date tl ` 2
LFES 2013
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of ervice,tpr where per unit,performed, service rendered, by
whom, rates per day, number of hours, r
Payee Purchase Order No.
Terms
Olson, Megan
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s) or bill(s)) 35.08
1/23/13 Reimb Mileage 9/13 -10/22/12
Total $ 35.08
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.
Olson, Megan Allowed 20
In Sum of$
$ 35.08
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-3 Reimb 4343000 $ 35.08 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
7-Feb 2013
Signature
$ 35.08 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund