220974 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 366537 Page 1 of 1
ONE CIVIC SQUARE TONI BUTLER
CARMEL, INDIANA 46032 C/O LEGAL CHECK AMOUNT: $130.74
CHECK NUMBER: 220974
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4343002 REIMB 20 . 00 EXTERNAL TRAINING TRA
209 4343004 REIMB 110 . 74 TRAVEL PER DIEMS
General Form No.101(1955)
Prescribed by tale Board Of Accounts ������� CLAIM
C
TO DR.
Jlu— Ic 7�- overnmental Unit)
On Account of Appropriation No. 5/3c5o y for
(O ice, Bo d,Departm t or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS 'AUTO MILES MILEAGE @ Sao•.5 j
20L > Point Point Start Finish TRAVELED PER MILE
5 1P I K0 Ko M 0 1 1 N y3 3 — + ,.. y Cl $
S
(01 z0 t3 2 43ia8 W Cc,
5 )'71 2, 13 IN s IN y ZE 3 t��
013 1 S 77 t/3 �a T l i 4 (v�
o
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.
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 claime I legally due,,aftQr
allowing all just credits, and that no part of the same has been paid.
Date 3 A 40 1 �
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
Payee
Toni Butler
Purchase Order No.
2508 Bradford Avenue
Terms
Kokomo, Indiana 46902 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5-31-13 Reimburse Toni Butler for monies she personally $20.00
expended for parking while attending Laserfiche training in
Indianapolis, Indiana, on May 6 and 7,2013
per the attached receipts
Oft
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 $20.00
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 2t,,
Toni Ri itlt-r IN SUM OF $
2508 Bradford Avenue
Kokomo, Indiana 46902
$ $20.00
ON ACCOUNT OF APPROPRIATION FOR
Deferral Fee Fund
430-43002 External Training
Board Members
pe# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
DEPT.#209 $20.00 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
3Z 2013
Ig
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund