221180 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367041 Page 1 of 1
ONE CIVIC SQUARE CHERRIE PALMER CHECK AMOUNT: $18.95
;' to CARMEL, INDIANA 46032 C/O ESE
CHECK NUMBER: 221180
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 18 . 95 TRAVEL FEES & EXPENSE
aRMM VD„RD„ACCOUNTS JUN 0 3 2013
Pot D aom ran uu t so.is two
MILEAGE CLAIM lt� (� I M V�
(QOVXUOOWA-L VM
ON ACCOUNT OF AMOFSIATION ND FOR
MMM
os
DATE FROM TO igONMU
POINT POINT START 1N�Ffti18R NA7=OF RUSBUM >� ® e
r
tU DWz
A 7F 1 hb c”
!fit 2
T .25• �\
n W (, ry,)-er
AUTO LICENSE NO. .OTC
+ SPEEDO16M 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 1893,I hereby certify that the foregoing account is lust and correct,that the amount claimed is legally due,after allowing all lust credits e
end that no pant of the same has been paid.
Date 5' (� 300
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.
367041 Palmer, Cherrie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/21/13 Reimb Mileage 4/12 - 5/21/13 $ 18.95
Total $ 18.95
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.
367041 Palmer, Cherrie Allowed 20
In Sum of$
$ 18.95
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-7 Reimb 4343000 $ 18.95 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
13-Jun 2013
10&z/de-aLou-�
Signature
$ 18.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund