HomeMy WebLinkAbout225392 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 366239 Page 1 of 1
`-` ONE CIVIC SQUARE MONICA HADDOCK
CARMEL, INDIANA 46032 CHECK AMOUNT: $106.31
C/O ESE
?� CHECK NUMBER: 225392
�ti«oH Eo
CHECK DATE: 10123/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 106 . 31 TRAVEL FEES & EXPENSE
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FEET—,, T 15 2013
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL iOAL NG-101(198
MILEAGE CLAIM ,M 1�� I�ro ( � 1
GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OMCE,BOARD,DEPARTUID4T OR INSrMITION)
D
FROM TO SPEEDOMETER AUTO E
READING �-
ZD POINT POINT START FINISH NATURE OF BUSINESS TRAVELED 6 c
PER MILE
C
___
Y u
iqu
Cl arc
MCC
1 +10
--- i 3
AUTO LICENSE NO. TOTALS
+ 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,after aliowing all just credits
end that no part the same has been paid. r
Date
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.
366239 Haddock, Monica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/11/13 Reimb Mileage 9/4- 10/10/13 $ 106.31
Total $ 106.31
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.
366239 Haddock, Monica Allowed 20
In Sum of$
$ 106.31
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-2 Reimb 4343000 $ 106.31 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
17-Oct 2013
Signature
$ 106.31 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund