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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