224826 10/08/2013 »,F CITY OF CARMEL, INDIANA VENDOR: 367093 Page 1 of 1
ONE CIVIC SQUARE ALYSSA CLARK
„+o CARMEL, INDIANA 46032 C/O PARKS CHECK AMOUNT: $44.07
CHECK NUMBER: 224826
CHECK DATE: 10/812013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 44 . 07 TRAVEL FEES & EXPENSE
SEP 2 7 2013
�ENFAAL FOflY NO-NU{I906)
1
PHLSCRIB CU BY STATf.BOARD OF ACCOUNTS
MILEAGE CLAIM 6 f f';n lV7L_iI
FSE - T
� ACCOU T F APPROPRIATION NO.
FOR
(OOVCIINlIENTAL UNIT)
{Or�IC¢,BOARe,UETARTI�NNT OR IN5rlTUIION)
SPEEDO ETER AUTO I,IN.EAGE
FROM TO READING .t-
NATURE OF BUSINESS 'IL I�
DATE. TRAVELED PER MILE
POINT
POINT START FINISH (
Ue
F D-C _ —
2 -
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D I
ta C —
2q D — -
PE
-1
E - CC
cc
Zq GC ✓
� TOTALS
l
AUTO LICENSE NO.
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed ❑edge or o[Iieial highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 195 ,I hereby certify that the foregoing acc unt is ju a d correct, that the amount claimed is legally due,after allowing all just credits
and that no part of the same has been paid.
Date
�� _q., qsq �� i
r
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.
Clark, Alyssa Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/24/13 Reimb Mileage 8/13 - 9/24/13 $ 44.07
Total $ 44.07
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.
Clark, Alyssa Allowed 20
In Sum of$
$ 44.07
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 44.07 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
3-Oct 2013
v?0CA&zZ a n
Signature
$ 44.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund