HomeMy WebLinkAbout228539 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 367774 Page 1 of 1
ONE CIVIC SQUARE CARA GRAY CHECK AMOUNT: $28.93
ti�t CARMEL, INDIANA 46032 C/o ESE
CHECK NUMBER: 228539
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 28 . 93 TRAVEL FEES & EXPENSE
C EIr vED
i
7JAN 10 2014
eeMMM=n SUM Bonen of Aa000rss � annau troaw no.is naso
MILEAGE CLAIM
ON ACCOUNT OF APPROPM=jc NO: Fox S
DATE FROM TO1Z
POINT POINT STAn iN0 m mx NA7M OF et/SUMS �W= ® 5 5 s
M bm
CJ , + a
�2
L Mai tc, C'1 Ac.c. e
1 zzwt- Cl.e
e- e Morn ceitFcg ¢. Iv.3 SS
1 ww CV4u -
X 13
AUTO LiCtiNSR NO. TOTALS n� �0.-'-v+ SPMOMr=Il MWG oobimas am to be used only when distance between points cannot be determined by fixed mileage or official highway map. lJ
Pursuant to the provisions and penalties of Chapter 155,Acts 1893,I hereby certify that the fctegoing account is just and correct,that the amount claimed to le 1�
Bally due allowing all just credits.
end that no part of the same has been paid.
Date
0
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.
367774 Gray, Cara Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/10/14 Reimb Mileage 12/11 - 12/19/13 $ 28.93
Total $ 28.93
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
Voucher No. Warrant No.
367774 Gray, Cara Allowed 20
In Sum of$
$ 28.93
ON ACCOUNT OF APPROPRIATION FOR
i
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-99 Reimb 4343000 $ 28.93 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
21-Jan 2014
Signature
$ 28.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund