222137 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1
ONE CIVIC SQUARE JESSICA RICHARDS
CHECK AMOUNT: $45.03
CARMEL, INDIANA 46032 1832 N GLENDORA DR
INDPLS IN 46214 CHECK NUMBER: 222137
CHECK DATE: 7/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 45 . 03 TRAVEL FEES & EXPENSE
RECEIVE
JUL 0 1 2013
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PRESCRIBED BY STATE BOARD OF ACCOUNTS MILEAGE CLAPT"N
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C'N'ACC OF APPROPRI I ATION NO. FOR
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SPEEDO 4EM TO )ZLEAGE
TO READING + WLES
FROM NATURE OF BUSINESS TRAVELED
DATE PER WLE
FINISH
POINT POINT STA FIT B AUTO
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NATURE BUSINESS AVFLF�
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I ;44"S bU4 TOTALS 41 5 t
)UTO LICENSE NO.
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fix Ed rilleage of 011i.jal highway map.
qunL is just ai:El correct,11 1 at the amount claimed is legally due,after allowing all just credit
Pursuant to the provisions and penalties Of Chapter 155,Acts 1953,1 hereby certify that the forOgOing acc 9)
and that no part of th same has been paid.
Date
,-7
Oq
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
6/20/13 Reimb Mileage 5/3 - 6/17/13 $ 45.03
Total $ 45.03
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 5-11710-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
364657 Richards, Jessica Allowed 20
In Sum of$
$ 45.03
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#lTITL AMOUNT
1081-4 Reimb 4343000 $ 45.03 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
10-Jul 2013
1 01
Signature
$ 45.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund