HomeMy WebLinkAbout228609 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 366990 Page 1 of 1
ONE CIVIC SQUARE JOSH LANE
CARMEL, INDIANA 46032 C/0 ESE CHECK AMOUNT: $15.37
CHECK NUMBER: 228609
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 15 . 37 TRAVEL FEES & EXPENSE
FQJA 2014
ren:CnMD m sum MOMM OF M ccumn amax"roam no.1W(MMC __- GE CLAIMTO
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ON ACCOUNT OF APPROPRIATION NO: ?Olt
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+ SPK DOWM 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 1993,I hereby certify that the foregoing account is lust and correct,that the amount claimed is legally due,after allowing all S is
end that no part of the same has been paid.
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.
366990 Lane, Josh Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/8/14 Reimb Mileage 12/4- 12/18/13 $ 15.37
Total $ 15.37
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.
366990 Lane, Josh Allowed 20
In Sum of$
$ 15.37
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 Reimb 4343000 $ 15.37 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
1 received except
f 21-Jan 2014
Signature
$ 15.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund