227421 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 366990 Page 1 of 1
ONE CIVIC SQUARE JOSH LANE CHECK AMOUNT: $39.78
CARMEL, INDIANA 46032 C/O ESE
CHECK NUMBER: 227421
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CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 39 . 78 TRAVEL FEES & EXPENSE
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AUTO LUMM NO. TOTALS
+ SPMOMM RBADWQ**In=*are to be used only whom distance between.points omamot be detoxmtmad by fined milaape or official highway map.
Pnnnaat to the provisions and penalties of Chapter 158,Acts IBM,I hereby oertily that the foregoing account is lost and correct.that the amount claimed is 1 ue,after allewin t credits
and that no part of the same has been paid.
Hate 12 /3 J 13
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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
12/3/13 Reimb Mileage 11/4- 12/3/13 $ 39.78
Total $ 39.78
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.
366990 Lane, Josh Allowed 20
In Sum of$
$ 39.78
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1081-11 Reimb 4343000 $ 39.78 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
12-Dec 2013
9
Signature
$ 39.78 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
3