220991 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 366708 Page 1 of 1
ONE CIVIC SQUARE JOSEPH CASTILLO
CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $175.09
CHECK NUMBER: 220991
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 175 . 09 TRAVEL FEES & EXPENSE
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MILFAGECL&]M
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FEDOMYTER AUTO MILEAGE
FROM TO HEADING 4- WLES (f
POIT47 START FINISH
PER WU
P3
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AU N')LICENSE NQ_ TOTALS,
~ SxsouowsTEa nnxnmG "^/"�o`"re /")-" usc.a only when ui!,°"=bm"" u points cannot h" u"'="6""d by o""amile"«o o,official highway rn"p.
n"r-""mm the»"°isx"""""xv"""umu^/cJ."n`",zss,Acts�95o'/h.,"bym,'./v that the m,°n"mg account�/",/"uupo/m"/.that ih"o.-n"=t claimed ulep^u'a""'ao".^x""an all p","raa:,.
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PPZSCRIBED UY STATE SC.)A%:)M Ar--OUNTL GENT'PA1.NOW 11C 101 cms)
MILEAGE CLAIM
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SPEEDOMETER AUTO WLEAGE
DATE FROM To READING +
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AS T FINISH TRAVELED PP MILE
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AUTO LICENSE NO, TOTALS
+ SPEEDOMETER READING columns are to he used only when distance between points cannot be determined by axed mileage or official highway map.
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Pursuant to the provisions and penallies,of Chapter 155,Acts 1953,1 hereby certify that the foregoing account i3 just and correct,that the amount claimed is legally due,aittir Ali-wing all lust credits
ond that no part of the same has been paid
Da�p
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""11 0 3 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.
366708 Castillo, Joseph Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/28/13 Reimb Mileage 3/11 - 5/28/13 $ 175.09
I
Total $ 175.09
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.
366708 Castillo, Joseph Allowed 20
In Sum of$
$ 175.09
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1081-9 Reimb 4343000 $ 175.09 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
Signature
$ 175.09 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund