228140 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 359285 Page 1 of 1
0 ONE CIVIC SQUARE VALESKA SIMMONDS CHECK AMOUNT: $147.33
CARMEL, INDIANA 46032 2703 E LYNN ST
ANDERSON IN 46016 CHECK NUMBER: 228140
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 147 . 33 TRAVEL FEES & EXPENSE
Pi2S==ar Stara noasb av aceta
SLMMEAGH to las :, ) t��7
u
ON ACCOUNT OP APPTOPMATION NO. PQn
DA_ PROD[ TO
POWT POINT START p r";r NATt7p$OF 9V5IN838 AUTO 1� e
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AUTO LtCUss NO. TOTALS 516.
+ SYENDOAfi3<'KEI Saro �
READING oohtu=cto be ud oily srh.en diotaucs b4hmon points cannot Le determined by fixod miles¢®or official highway map. —!v
Pnrnnnnt loo tho prosUiuna ead pannitios of Chalptor 159,AMa 1993,I horaby oortify that the foregoing Sccovnt is)not and correct,that the amount claaimod Is logalluy duo,
/ t to;
and lhat ZPali� ,Lof -1 j has boon paid.
Dctv
' DEC 2013 - A
S%{&'7i=GY a2A?%Enwatl oY.6pOGLT1H Rt RAi YO'JM FO.191 nil
' MILEAGE CLAIM
ON ACCOUNT OF APMPWA=H NO, rOA
rMvW PRO, oa waWffim
_ FROU TO AUTO UnJAG1
POW POW START yRmx NATUt18 OP EU97187658 � � a
PSS ls.IIR
MLCti
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-1 =
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= rn
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t`
AUM L1C1S1t88 NO. TOTAIS ; c�
+ SPE=Mrr0 AEADJNGi oolnaana am to ho u=d only when 3ia"ce.bohmn points oannot ba determined by fihod mileago or offioial highway map• �',IGS
Pu rxuant to the provtatoas and ponaltloa of Chaptor 139,Acta 1893,I hereby cartify that the torogoiAg account is lust and correct,that the amount claimed tp legally d attmr lust �edita,
and that no p in
of the Gama hes been paid. ----
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ta�xu7szo rn G2A1H aow�oa anwokis w4mur.rmw-7X3.I (1C-_j
MMEAGR CLAIM
to_ � a i -S Qq
1
C"ACCOM OF AMOPUATTOH HOT TOR
as
FRA — TO l
�A ;t POYiiT PONT START 11�FINIEH NATOU Oy HU81WM 7umm
Y)C.aU un.Lk� a
PSgi 2�L&
l
N_1
nF
4
4'5 rrvi
tY CLl Mc z
r AUTO LK=sx NO. TOTAIS
+ SPF.LDOMr=R&WING, columna an to be uwd only Vahan diatancs betwoon potato oannot be datarmiried by fixed rafloage or of iolal highway map.
Purnnamt to the proytafoaa mad ponaltfoo of Chept&r 159,Actr 1953,I ho meby certify that the foregoing account is junt and correct,that the amount ciafmod in Ing y due, J
and that n!part i th1 emm has been paid. loaf a(iitn:
Data t
L!2
j
DEC = 2013 �d ( - L..� L� �( �
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.
359285 Simmonds, Valeska Terms
2703 E Lynn St Date Due
Anderson, IN 46016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/27/13 Reimb Mileage 11/6- 12/27/13 $ 147.33
Total Is 147.33
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
i
Voucher No. Warrant No.
i
359285 Simmonds, Valeska Allowed 20
2703 E Lynn St
Anderson, IN 46016 I
In Sum of$
$ 147.33
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 Reimb 4343000 $ 147.33 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
$ 147.33 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund