HomeMy WebLinkAbout231183 04/08/14 ��u!.C,A"If!
CITY OF CARMEL, INDIANA VENDOR: 360144
® j ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $'"'"""*129.53'
�. Q CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 231 183
4;,iioN�. NOBLESVILLE IN 46060 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB' 129.53 TRAVEL FEES & EXPENSE
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PMSCRIDED BT STATC BOARD OF ACCOUNTS
MILEAGE CLAIM Ly �� • �=
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(G6VERNMENTAL UATI ON ACCOUNT OF APPROPRIATION NO. FOR
(OF-ME.BOARD.DUARTlCM OR INSTnUTION)
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DATE NATURE OF BUSINESS MIS � t
za— POINT POINT START FINISH 7RAV£L£D PER MILE
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AUTO LICENSE NO. TOTALS ' y
+ SPEEDOMETER 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 1853,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after aliowing all lust credits.
end that o part of the same has been paid. r �
Date
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t'ALKCAUtDDT STATE LOAM OF ACCOUM GIMAL FONM W IN{1966)
MILEAGE CLAIM ,
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( FAlU6EMSA41R711T ON ACCOUNT OF APPROPRIATION NO. FOR _
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AUTO LICENSE NO. TOTALS I
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 111
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby COTtity drat the fnTegoing account is Iusl and correct.that the amount claimed is legally due,after ali0wing all Iust credits.
end that o part f tthesame has been paid.
Date 1--� ---f----
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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.
360144 Canada, Cyndi Terms
11508 Lucky Dan Dr
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/25/14 Reimb Mileage 1/2- 3/25/14 $ 129.53
ti
i
Total $ 129.53
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.
360144 Canada, Cyndi Allowed 20
11508 Lucky Dan Dr
Noblesville, IN 46060
In Sum of$
$ 129.53
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1081-5 Reimb 4343000 $ 129.53 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
3-Apr 2014
Signature
$ 129.53 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund