226626 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 366708 Page 1 of 1
ONE CIVIC SQUARE JOSEPH CASTILLO
CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $93.91
CHECK NUMBER: 226626
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 93 . 91 TRAVEL FEES & EXPENSE
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MSCAMD BY STATE BOARD OF ACCOUNTS - -�
6ERFRAI FORM NG 101 119Rr)
MILEAGE CLAIM
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ON ACCOUNT OF APPROPRIATION NO.-.FOR
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READING + AUTO MILEAGE
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PER MILE
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+ SPEEDOMETER READING columns are to be used only when distance between points cannot he determined by fixed mileage or official highway map. i— lJ
Pursuant to(11e provisions and penalties of Chapter 155,Acts 1853,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after atiowing all)ust credits.
end that no part of the same has been paid.
Date
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.
366708 Castillo, Joseph Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
11/13/13 Reimb Mileage 10/22- 11/13/13 $ 93.91
Total $ 93.91
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,
366708 Castillo, Joseph Allowed 20
In Sum of$
$ 93.91
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1081-9 Reimb 4343000 $ 93,91 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
$ 93.91 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund