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HomeMy WebLinkAbout219013 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1 ONE CIVIC SQUARE JESSICA RICHARDS CHECK AMOUNT: $20.47 CARMEL, INDIANA 46032 1832 N GLENDORA DR INDPLS IN 46214 CHECK NUMBER: 219013 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 20 .47 TRAVEL FEES & EXPENSE i I i i PRESCRIBED BY STATE BOARD OF ACCOUNTS GENFAAL FORM IIG.101(Itrebl MILEAGE CL I T(GOVEAWMENTAL ' r �7 1 UNIT) PPROPRIATION NO. FOR (OFFICE,BOARD,DEPABTUTIT OR INSTMITION) SPEEDO ETER DATE FROM To READI F AUTO Z-�- POINT POINT START FINISH NATURE OF BUSINESS TR MILES ED ��" y - � PEA tltE -- U F S _ ------ --- -- f o cc AnktN S 6 if i .s 3o Ze r-Owe z 3 1 Foe i 2 25 2 Cc c�- 2 r ti o D G 21 D E --- - ' — MT PDE(o p C --- I -IS 0. AUTO LICENSE NO. TOTALS + SPEEDOMETER READING columns are to be used only when distance between points cannot be delermin d by fix d ileage or official highway.map. Pursuant to the provisions and penalties of Chapter 255,Acts 1953,I hereby certify that the foregoing acc unt is ju a d correct,that the amount claimed is legally due,after allowing all just w.edits end that no part of the same has been paid. Date 3 /aco 13 i J 1 t 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. 364657 Richards, Jessica Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 3/26/13 Reimb Mileage 11/28/12 - 3/27/13 $ 20.47 Total $ 20.47 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. 364657 Richards, Jessica Allowed 20 In Sum of$ $ 20.47 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members Dept# 1081-4 Reimb 4343000 $ 20.47 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 4-Apr 2013 Signature $ 20.47 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund