HomeMy WebLinkAbout218580 03/25/2013 ,- CITY OF CARMEL, INDIANA VENDOR: 367041 Page 1 of 1
ONE CIVIC SQUARE CHERRIE PALMER
CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $7.74
CHECK NUMBER: 218580
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 7 . 74 TRAVEL FEES & EXPENSE
"IVF
MAR 14 2013
PIVSCRIBEO BY STATE HOARD Or ACCOUNTS jam'Tj,. GENrAAL FORM 110.101 t1n6)
MILEAGE CLAIM --
ro
tOOVEANMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION ND.' FOR
10MCE,BOARD,DEPABTUX?(T ON INSTrrUTION)
SPEEDOMETER
�D TR FROM TO READING , AUTO MIr
'FZ> POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
2 vfY� tc3
1
AUTO LICENSE NO. TOTALS 1
+ 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 1959,I hereby certify that the foregoing account is just and correct,that the amount claimed is legal d e,after all q all just credits,•
and that no part of the same has been paid. /
Date I
0-7-
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.
Palmer, Cherrie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/13/13 Reimb Mileage 2/13/13 $ 7.74
Total $ 7.74
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.
Palmer, Cherrie i Allowed 20
In Sum of$
$ 7.74
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-7 Reimb 4343000 $ 7.74 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
21-Mar 2013
Signature
$ 7.74 Accounts Payable Coordinator
Cost distribution ledger classification if Title
Claim paid motor vehicle highway fund