HomeMy WebLinkAbout224237 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 366707 Page 1 of 1
ONE CIVIC SQUARE SHANNON BULINGTON CHECK AMOUNT: $29.95
=a CARMEL, INDIANA 46032 C/O ESE
CHECK NUMBER: 224237
CHECK DATE: 9/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 29 . 95 TRAVEL FEES & EXPENSE
CDOWAL t0AW 00 101 099O
VML'1ltD In STATE 10A11D OW ACCOUPM
MILEAGE CLAIM
to WLRWM N7AL VOM ON ACCOUNT OF APPROPRIATION NO. FOR —
•..cormcx.1011 RD.DA► TWUftO S
-low) ..�__ -----•
"! SPEEDOMETER
DATE FROM TO I RFADING + NATUAE OF BUSINESS
AR= a r
�l y� POINT POINT START FINISH TRAVELBn PER MILE
1 ,10
- -- - � �
-
ilia 04,11 tm I
AUTO LICENSE NO. TOTALS 1: !� C1S
+ 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,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,alter aliwving alt just credits
end that no p of he lame has been paid.
Date_ �_
5EP ® 5 2813
I'
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.
366707 Bulington, Shannonk Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/30/13 Reimb Mileage 5/31 - 8/27/13 $ 29.95
Total $ 29.95
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.
366707 Bulington, Shannon Allowed 20
In Sum of$
$ 29.95
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-9 Reimb 4343000 $ 29.95 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
19-Sep 2013
AKA',
Signature
$ 29.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund