HomeMy WebLinkAbout228027 1 /14/2014 =A,F CITY OF CARMEL, INDIANA VENDOR: 360925 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HOLDER CHECK AMOUNT: $30.54
CARMEL, INDIANA 46032 5716 DURHAM CASTLE CT APT 137
o�ao INDPLS IN 46250 CHECK NUMBER: 228027
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 30 . 54 TRAVEL FEES & EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUN'rH ��••�.�����.����,.w�.veo�
MILEAGE CLAIMX1,1,,
TO v (�
(GOVERNMENTAL UMllON ACCOUNT OF tiPPROPRIATION NO. FOR
(OFFICE,BOARP,DEPARTMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING +' AUTO MILEAGF,_
19_. POINT POINT J START FINISH NATURE OF BUSINESS TRAVELED MILES ®
PER MILE
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AUTO LICENSE NO. TOTALS I 3�
+ SPEED014ETER READING columns ara to be used only when distance between points cannot be determined by fixed mileage or cificial highway map,
Pursuant to the provisions and penalties cf Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed legally e, r a.iowing all just cr
end that no part of the same has been paid.
Date
1
DEC 3 pr
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PRESCRIBED BY STATE BOAP.D OF
MILEAGE CLAIM"
�x�enc1� ,. TO
�choc�l bCbrm-nfi
C�� �GOVEAXMENTAI.'JyEo
gT) � ON ACCOUNT OF APPROPRIATION N0, FOR
OJ`r S
(OFFICE,BOAAD,DEP TMENT OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING + AUTO MILEAGE
D 1TE NATURE OF BUSINESS MILES
POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS �. (4U Gi a \�
+ SPEEDOMETER READING columns ara 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 1953,I hereby certify that the foregoing account is just and correct,that the amount claime s eg y due,after allowing all just credits
end that no part of the same has been paid.
Date
DEC 3 n 2013 C�
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.
Terms
360925 Holder, Jennifer
;Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s) or bill(s))
$ 30.54
2/19/13 Reimb Mileage 9/3 - 12/19/13
Total $ 30.54
oice(s),or bill(s)is(are)true and correct and I have audited same in accordance
I hereby certify that the attached inv
with IC 5-11-10-1.6
20
Clerk-Treasurer
Voucher No. Warrant No.
360925 Holder, Jennifer Allowed 20
In Sum of$
i
$ 30.54
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081-6 Reimb 4343000 $ 30.54 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
i
9-Jan 2014
Signature
$ 30.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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