226609 12/03/2013 f CITY OF CARMEL, INDIANA VENDOR: 366471 Page 1 of 1
, ONE CIVIC SQUARE SHANDI BRAY CHECK AMOUNT: $295.83
?a CARMEL, INDIANA 46032 C/O PARKS
CHECK NUMBER: 226609
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 295 . 83 TRAVEL FEES & EXPENSE
NOV 19 2013
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MILEAGE CLAIM
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ON ACCOUNT OF"MPMUON No FOR
DATE mom TO BPXMMOu
POINT POINT START a FlNIBR NATURti OF BUSINIM � ® e
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+ BPESDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. o`
Pursuant to the proviaLoaa and penalties of Chapter 135,Acts 1893,I horeby certify that the foregoing account is just and correct,that the amount claimed in d after aliowin 4
and that no part of the same has been paid.
Date
Cq I- -g3qg�oo�
NOV 19 2013
PEMCMM ar WAa sONO OF ACDOWn =02"Wcom AD.IW(14e
Cc MILEAGE CLAIM
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ON ACCOUNT OF APPROPRIATION NO: POn
DATE FROM TO AUTO
POINT POINT START 1N0 YMN NATORB OF BUS07 BM ® t
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t 3PEEDOMIsM 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 1853,I hereby certify that the foregoiAg account is just and correct,that the amount claimed is Is ,niter eli t credits
end that no part of the same has been paid.
Date
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NOV 19 2013
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rMcan ar sum solos or ecoomm ] /_ I
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MILEAGE CLAIM
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ON ACCOUNT OF APPHOPR ATION NO. FOR
(orrm as
DATE FROM TO READING - AUTO
-- POD POINT START ytN18R NATURE OF RV3111BS8 � ® A t
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AUTO LICENSE NO. TOTALS ^(�
+ $PEBDOWTER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. ( —`
Pursuant to the proviaioas and penalties of Chapter 155,Acts 1993,I hereby certify that the foregoing account is Just and correct,that the amount claimed to y ,after aB to.- '
end that no part of the same has been paid.
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.
366471 Bray, Shandi Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO # Amount
11/18/13 Reimb Mileage 8/12- 11/18/13 $ 295.83
Total $ 295.83
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.
366471 Bray, Shandi Allowed 20
In Sum of$
$ 295.83
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-3 Reimb 4343000 $ 295.83 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
27-Nov 2013
Signature
$ 295.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund