227524 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367656 Page 1 of 1
ONE CIVIC SQUARE SAVANNAH VANWHY
CARMEL, INDIANA 46032 CHECK AMOUNT: $114.13
C/0 ESE
CHECK NUMBER: 227524
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 114 . 13 TRAVEL FEES & EXPENSE
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MILEAGE CLAIM
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SP=Obf3`=RBA WQ columns an to be used only when distance,between point oe mot be determined by fixed mileage or official highway map.
Pu—ant to the,proridcns and panalties of Chapter 159,Acts 1953,I hereby oortlly ibat the foregnt>tq aceouaj is just aad correct.that the amouat claimed fa l dw,eftar allowing all scat credits
and that no n-1 aatae ew paid.
Data /_01 l WlY L 1
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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.
367656 VanWhy, Savannah Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/27/13 Reimb Mileage 11/1 - 11/27/13 $ 114.13
Total $ 114.13
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
i
Voucher No. Warrant No.
367656 VanWhy, Savannah Allowed 20
In Sum of$
$ 114.13
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1081-7 Reimb 4343000 $ 114.13 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
$ 114.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund