227435 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367837 Page 1 of 1
ONE CIVIC SQUARE MIKE MARTIN CHECK AMOUNT: $13.90
CARMEL, INDIANA 46032 C/O PARKS
CHECK NUMBER: 227435
CHECK DATE: 12/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 13 . 90 TRAVEL FEES & EXPENSE
a 1 0 2013
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=7-op�A,Imm I�a.in am
L LP P, MILEAGE CLAtId M,'/ /
in
ON AtRlOV"of APP80ftuTm NO. KM
TO
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im
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ri ov �^" 3 S-
^^ 3.
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A=UCMM No. TWAM 3 0
+ SPUDOMnU SHADING*Ohm=are to be used a*v*m distanoe be wm polft cannot be dotetmlaed by fixed mileage or ofliolet highway map.
Peranam to the P-wW na gad penalties of Chapter 188,Ants 1883,thereby an*that"fang esag acaonat is last and correct,that the nano ant olaimed to legrelly due, all last oradi
sad that ao pert of dw same has been paid.
Date 1 9Y/
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.
Martin, Mike Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/2/13 Reimb Mileage 11/25 - 11/26/13 $ 13.90
Total $ 13.90
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.
Martin, Mike Allowed 20
In Sum of$
$ 13.90
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-11 Reimb 4343000 $ 13.90 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
Signature
$ 13.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund