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HomeMy WebLinkAbout235767 08/13/14 �o!_4Agy �� CITY OF CARMEL, INDIANA VENDOR: 360144 `� =\. CHECK AMOUNT: $*******142.62* ONE CIVIC SQUARE CYNTHIA CANADA �9 �a� CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 235767 �,��foN�, NOBLESVILLE IN 46060 CHECK DATE: 08/13/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343000 REIMB 142.62 TRAVEL FEES & EXPENSE EMSCMt4 Dr 9TASL10AA6 Of ACCOOM GEWSAL fMW na IM 119861 MILEAGE CLAIM "" l rA4yliNrALu>artl ON ACCOUNT OF APPROPRIATION NO. FOR FROM TO, � '- eFAOWC� + I AUTO tIfLEAGE t DATE NATURE OF BUSINESS bSIm � POINT POINT SART FINISH TRAVELED PER MILE - - - _ ice. __-"_ ,_,_. -; '�.. ---... _ — --• lc c C _..— =� _ r ::-'k-R-- nuvZ M � 2L - -- mT �4Q -4--- AUTO LICENSE NO. TOTS 90 S -71 + 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 19M,I hereby certify that the forngoinq account is just and correel.that the amount claimed is legally due,alter allowing all lust credits. and that no Paz oft a Sarna has been paid. Date -71 �q V2014 AUG 4 RECITED AUG -4 2014 tR SMUEa BY sfeu X0AX0 or ACCOMM BY: WrFSAL FOA1d U0,ro eves) MILEAGE CLAIM����-� � ,•_���Q_ - th7XWIKrAl.uurll - -- ON ACCOUNT OF APPROPRIATION NO. FOR -- ]07710E•h1OAFW.DCJAxTRW OA 1NSnr molt) - SPFEDOJl�TE[l�— nATP FROM TO ..._. —..�... -- READING + -�..�.^... -.AUTO tdILEAGE POINT _- - POINT START FINISH NATURE OR BUSINESSc THAAVEL MILM n (� PER MIf.E -- -- -- SLI_)-mac -- - — l `L - -- —� g -F17!) YY 4_1 �-► Inn __ _ __ --_- clr�-en -` T _ rO AUTO LICENSE NO. TOTALS + SPEEDOMETER READING columns are to be used only when distance between points cannoi be determined by fixed mileage or official highway map- '` Pursuant to t11e provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account u just and correct.that the amount claimed is legally dua, end that n pe t f the amu has been paid. Date 7 � ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL itemized must show; kind of service where performed, dates service rendered, by An invoice of bill to be properly 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 7/31/14 Reimb Mileage 6/20-7/31/14 $ 142.62 Total is, 142.62 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC5-11-10-1.6 , 20— Clerk-Treasurer Voucher No. Warrant No. 360144 Canada, Cyndi Allowed 20 11508 Lucky Dan Dr Noblesville, IN 46060 In Sum of$ $ 142.62 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or Dept INVOICE NO. ACCT#/TITLE AMOUNT I Board Members Dept# I 1082-12 Reimb 4343000 $ 142.62 I 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 i 7-Aug 2014 i I Signature $ 142.62 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund J I I'