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HomeMy WebLinkAbout220177 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 365463 Page 1 of 1 `•` ONE CIVIC SQUARE MATTHEW GREGORY +I' CARMEL, INDIANA 46032 C/0 ESE CHECK AMOUNT: $127.86 CHECK NUMBER: 220177 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 127 . 86 TRAVEL FEES & EXPENSE GENERAL FOAL 110.let 04967 PRISCRIBED BY STAIE BOARD OF ACCOUNTS MILEAGE CLAIM TO (OOVGNNCNTAL UNl1T ON ACCOUNT OF APPROPRIATION NO. FOR (OMCE,BOARD,DEIAAMTTT OR 14ST=108J ' - ' SPEEDOMETER AUTO FROM TO READING + NATURE OF BUSINESS MILES a c 2 DATA TRAVELED d POINT POINT START FINISH PER MILE — r• ©S` Mail 1 D a C . i r . �r T kill, -7 _1 O P F AAWL T 'v rl�tG 7. OS AUTO LICENSE NO. TOTALS !07.ay, + SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 3 -5' l3 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 claimed is legally due,after allowing all just credits and that no part of the same has been paid. - Date I � CIF�J'r1i� MAY 0 22013 Y._._ -- IiO NY HUM BOARD OF ACOOOM GAIL t0lM I1O.IG nidD MILEAGE CLAIM TO_ AL VM ON ACCOUNT OF AMOMIATION NO: FOR as ,�A�7g FROM TO �►� .�°` �ZO OF BUSI8 SS t FOII F118i � Y Xv,r S '12 662115A T M AUTO LICINU No. TOTALS 34,571 + SPMOMIsRil�l UADING Columns are to be used only whey distance between points cannot be determined by fixed mileage or official highway map. a •�A — Pursuant to the provisions and penalties of Chepter 199,Acts 1893,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all lust credits end that no part of the same has been paid. Date — r - -T MAY 0 6 2013 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. 365463 Gregory, Matthew Terms Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 4/23/13 Reimb Mileage 3/4- 5/1/13 $ 127.86 Total $ 127.86 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. 365463 Gregory, Matthew Allowed 20 In Sum of$ $ 127.86 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or Board Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 1081-7 Reimb 4343000 $ 127.86 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 16-May 2013 Signature $ 127.86 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund