HomeMy WebLinkAbout234489 07/08/14 +/d.4�gti
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u: �� CITY OF CARMEL, INDIANA VENDOR: 360144
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.j ¢r ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $ 152.54
s. ;_,, CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 234489
9�;,�roN�� NOBLESVILLE IN 46060 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 112.11 TRAVEL FEES & EXPENSE
1082 4343000 REIMB 40.43 TRAVEL FEES & EXPENSE
VT-
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JUN 2 2014
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PMCIUMED DT STATC sOMM OF ACCOUN75 GENrAAI,f'pAb AD IQI X19867
MILEAGE CLAIM
TO
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ON ACCOUNT OF APPROPRIATION NO. FOR
COMM-SDA"..DVAR7ME?tr OA INSTUMIDN)
FADM TO 4^ PEEDOMETJZI
DATE READING + AUTO HILEAGE
POINT FINISH NATURE OF BUSINSS MILESN ' b Q c
PER MILE
c r ---
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AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns are to be used only when diatance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,1 hereby certify that the foregoing account is just and correct.that the amount claimed is legally due,after allowing all lust credits
end That no art of the ama has been paid.
Date- �Q�� � 1—
JUN 2 3 2L�1
LIMCMEED BS STATE BOA1161 OF ACCOUNTS GENFAAL FRAM 110 1@1 11466)
MILEAGE CLAIM
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1 aNaENrAI.BNYA ON ACCOUNT OF APPROPRIATION NO. FOR
tornim.BOARD.DWAR UM on INST=108t
SPEEDOMETER AUTO
DATE FROM TO ! READING t NATURE OF BUSINESS MIS
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AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be delormined by fixed mileage or official highway map. �
Pursuant to lite provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount clatmed is legally due,after aliowin
end that no pari f the same has been paid. ^—
Date� i _�_`4t�--
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FR
JUN � 3 2014
PSFSCMDED HT STATL HOARD OF ACCOUNTS FORM 710 30 119867
MILEAGE CLAI! f °+ �
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ON ACCOUNT OF APPROPRIATION NO. FOR
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AUTO LICENSE NO. TOTALS 1 i a F16S-7 a
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to(he provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amounl claimed is legally due,after allowing all lust credits
end that no plkrt of t e sa[mm has been paid.
Date r
IrJLJ��-�
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
6/19/14 Reimb Mileage 4/21 -6/4/14 $ 112.11
6/19/14 Reimb Mileage 6/4-6/19/14 $ 40.43
Total $ 152.54
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.
360144 Canada, Cyndi Allowed 20
11508 Lucky Dan Dr
Noblesville, IN 46060
In Sum of$
i
{
$ 152.54
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
i
i
PO#or INVOICE NO. ACCT#/TITLE .AMOUNT j Board Members
Dept#
1081-5 Reimb 4343000 $ 112.11 1 hereby certify that the attached invoice(s), or
1082-12 Reimb 4343000 $ 40.43 . bill(s)is(are)true and correct and that the
materials or services itemized thereon for
f which charge is made were ordered and
l received except
4-Jul 2014
Signature
$ 152.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund