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224260 09/23/2013
CITY OF CARMEL, INDIANA VENDOR: 360925 Page 1 of 1 ONE CIVIC SQUARE JENNIFER HOLDER CARMEL, INDIANA 46032 5716 DURHAM CASTLE CT APT 137 CHECK AMOUNT: $25.64 INDPLS IN 46250 CHECK NUMBER: 224260 CHECK DATE: 9/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 25 . 64 TRAVEL FEES & EXPENSE I 1 � :1':- I I f • 11 f' i 11 �' I 1:1' • 'll l'ti.: ..�II •I ��yI�T I-�I�YiC�: 160 �it�I��T1L iii•' I��' .. '���!� �����I� i��l�.• i06ii!�■i�`li t ■E�yl �r �1�'' I��I tr � I��I��l � t iQ�71�111L X11 I®�i. �.� !vii�1��9I .► Mai ��.'ll� �■■■�! �• mill' I��I ��� �� I��I��l 111e��I ►► �. I-�I �.! I�trs�l� F:7EI�.�Mh�! OlU[ s� �.�Ci�\�r:Tt?■I �Y11' I®�I�ii ••�iTi7�l��1� .tRr i n.'�ii �► �� I®�I�l�'S�'ie14il'iC37"il©!� Il. . EMOMMOR 1®i■■�i ' I ii Willi 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. 360925 Holder, Jennifer Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/29/13 Reimb Mileage 8/5 - 8/29/13 $ 25.64 Total $ 25.64 I 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. 360925 Holder, Jennifer Allowed 20 In Sum of$ $ 25.64 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or Board Members Dept# INVOICE NO. ACCT#lTITL AMOUNT 1081-6 Reimb 4343000 $ 25.64 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 Signature $ 25.64 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund