221526 07/02/2013 - CITY OF CARMEL, INDIANA VENDOR: 365463 Page 1 of 1
ONE CIVIC SQUARE MATTHEW GREGORY
� CARMEL, INDIANA 46032 C/0 ESE CHECK AMOUNT: $70.80
' CHECK NUMBER: 221526
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 70 . 80 TRAVEL FEES & EXPENSE
JUN 05 2013 '
lOrECA1RD R RA2L aDA1D OF IiCOOelll! llr.GID® !qM AO.101(Me MILEAGE CLAIM �,� �re e,y _--- --�
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ON ACCOUNT OF AMONUTION NO FOR
DATB FROM TO
'� FOUNT POINT START AEADIIQf�FDt1tiR NATURE OF RU9DUW n ®54-57-
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PER MILE
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AUTO LICSNRE NO. TOTALS I - v 10 Q
+ SPEEDONXTER READING oolumns are to he 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 1853,I hereby certify that the foregoing account is Just and correct,that the amount claimed Is legally due,after allowing all Just credits;
end that o part of the same has been paid.
Date
I y] q3 -
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
6/4/13 Reimb Mileage 5/3 - 6/3/13 $ 70.80
Total $ 70.80
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
120
Clerk-Treasurer
Voucher No. Warrant No.
365463 Gregory, Matthew Allowed 20
In Sum of$
$ 70.80
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-7 Reimb 4343000 $ 70.80 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
20-Jun 2013
PP4"
$ 70.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund