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
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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
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POINT _- - POINT START FINISH NATURE OR BUSINESSc
THAAVEL MILM n (�
PER MIf.E
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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
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