HomeMy WebLinkAbout227969 1/14/2014 *F CITY OF CARMEL, INDIANA VENDOR: 366708 Page 1 of 1
ONE CIVIC SQUARE JOSEPH CASTILLO CHECK AMOUNT: $82.70
�?a CARMEL, INDIANA 46032 C/O ESE
CHECK NUMBER: 227969
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 82 . 70 TRAVEL FEES & EXPENSE
PRESCRIBED By STATE BOARD Or ACCOUNTS
CEKERA1 rOR7d JIG 101 119867
MILEAGE -
CLAIM
4GOVIAHMENTA tUMI}
ON ACCOUNT OF APPROPMATION NO. �. FOR _
' (OrlcE•BOARD.DVAAT)f@fr OR INSRr(Tr10N7 _
DATE FROM TO —...�.-�.....� SPEEDOMETER ..'•_. —
i READING + AUTO GE
Zb 13/l4 POINTpOiNT START FINISH NATURE OF BUSINESS MtLES
- -- -- --- TRAVELED PER MILE
- CCLPC C-
76
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3 3
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AUTO LICENSE NO- TOTALS
+ SPEEDOMETER 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 1853,1 hereby certify that the foregoing account is just and correct.that the amount claimed is legally due,after aliowing all]usl credits.
end that no part of the same has been paid.
Date
fr,a
'�� oEC 2013
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
12/12/13 Reimb Mileage 11/14 - 12/12/13 $ 82.70
Total $ 82.70
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.
366708 Castillo, Joseph Allowed 20
In Sum of$
$ 82.70
Ii
ON ACCOUNT OF APPROPRIATION FOR }
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-9 Reimb 4343000 $ 82.70 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
9-Jan 2014
Signature
$ 82.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund