226118 11/18/2013 "yf CITY OF CARMEL, INDIANA VENDOR: 366990 Page 1 of 1
ONE CIVIC SQUARE JOSH LANE CHECK AMOUNT: $49.66
CARMEL, INDIANA 46032 C/O ESE
<,o CHECK NUMBER: 226118
CHECK DATE: 11!18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 49 . 66 TRAVEL FEES & EXPENSE
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MILEAGE CLAIM Qom"
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ON ACCOUNT OF APPROPRIATION NO MR
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DAT& FROM TO AUTO
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+ SPEBDOME'M!READING oohMns am to be used only when distance between points cannot be determined by fixed mileage or official highway m f ap. !u 6 37-1 �9.&Jp
I'mm�ant to the provisions and penalties of Chapter 155,Acts 1893,I hereby certify that the foregoing account is lust and correct,that the amount claimed ie 1 y d ,after allowing is
end that no part of the same has been paid.
Date
4 2013
BY:_
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.
366990 Lane, Josh Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/29/13 Reimb Mileage 9/24 - 10/29/13 $ 49.66
Total $ 49.66
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
120
Clerk-Treasurer
Voucher No. Warrant No.
366990 Lane, Josh Allowed 20
In Sum of$
$ 49.66
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-11 Reimb 4343000 $ 49.66 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
14-Nov 2013
Signature
$ 49.66 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund