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HomeMy WebLinkAbout243681 03/31/15 w.F�q 11i elf �; CITY OF CARMEL, INDIANA VENDOR: 360144 ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $►►►►►►►319.02► ,a CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 243681 °MgTON-`• NOBLESVILLE IN 46060 CHECK DATE: 03/31/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 319.02 TRAVEL FEES & EXPENSE MAR 1 '9 2015 PRESCRIBED BY STATE BOARD OF ACCOUNTS - GEMMUIL FORM NO.101(1986) -- - - 1vIIL-EAGE C TO OL t �(1 Ate_ (GOVERNMENTAL UNrr) ON ACCOUNT OF APPROPRIATION NO. FOR (OHICT,BOARD.DEPARTMENT OR INSMMION) FROM TO READING EER AUTO MILEAGE DATE NATURE OF BUSINESS MILES 0- 1 POINT POINT START FINISH TAAiIELED PER WES C 21 it C C t V f (1i b^✓MC-t re 1 =� 1 ?3I 9-o c ISIL4 A - C. I c 1 le AUTO LICENSE NO_ TOTALS C � 5 + 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 previsions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,tha the amount claimed is legally due,after allowing all just credits end that oS part of the same has been paid. Date l `� LA c MAR 19 2015 f CNSCOMED IIr STME SOAX0 OF ACCOOM {_ T. i GENi8A1 iO%td PO IMµ9FF1 t _ ---- -=MIL-E-AGR:QLAIM '�- TO _ t ottwtErvAt vxrrt - ON ACCOUNT OF APPROPRIATION NO. FOR ta=E,DOARD.DEt"nCorr OA INST017VOK) nAT9 FROM - TO 'READING t ! AUTO MILEAGE c NATURE OF BUSINESS 4 MIL R 0 FDINT -- POINT S:ART FINISH PER MILE I HL4 MCC— at 1H C--- - Mc C4 -._ ---- `L Lam— , F fn.c c_ ___ __.... L L --- _ r -tv-0 t t 2 33 14 .L !MCC t aizrs�2 :17- qn,_ ^t AUTO LICENSE:NO. TOTALS t 9 I o5� d I + SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by Nixed mileage or official highway map. )bso-19 404g Pursuant to the provisions and penalties of Chapter 155,Acis 1953,I hereby certify that the foregciing account is just and t:orrecf:that the amount claimed is legally due,aftr_r alFowen. end thato part o1 the same has been paid. - f ' Date�� �'— Carmel • Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Recei t Vendor listed on receipt # Line# Budget Descri tion Amount Purpose of E nse i C 6t0e 3 15 1L I ,Loa I® IS Coco, se'r, Im receipts should be attached in the.same order as listed above. ©� No sales tax will be reimbursed. TOTAL: $ `� Employeen NameAa Address_!I c�j02& LAC .lL�j f,)Z r, Z"�r- Check payable to: City,St.Zip K)`)I� '.�;K LI1 n0 en Signature: Approved by: Date: 3�_S S Date: Revised 3-2-07 by Business Services; � �7-ID Sharefforrns and Templates/Business 5ervloe FounS Employee E.V Relmb Request 2007-3 i 2015 MAR 2 0 - Carmel a Clay Parks&Recreation Employee Expense Reimbursement Request jRel, Fund Account Account Receipt Vendor listed on receipt # Line# Budget Descri tion Amount Pu ose of Ex ense © �. zj _ , 2 L 5 311111-5 II 1 s re All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employeen Name(Print) - n(A. Check Addressllsc) payable to: City,St,zip ( y)k le='a); l le , T1K1 �f�n(�(�`� Signature: �,��_ (F Approved by: - J Date:.3 I 1 Date: Revised 3-2-07 by Business Services; Sharefforms and Templates/Business Service FoMWEmployee Exp Reimb Request 2007-3 MAR 2 0 2015 L Y_ ti :'�! ♦ e '����_Y'4i�� ,� \moi f i : ✓ d kryuyv r LA fi 12.`N r w' , vrt M f x 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 3/16/15 Reimb Mileage 1/5- 3/16/15 $ 105.79 3/15/15 Reimb Travel expenses for NAA Conference $ 213.23 Total $ 319.02 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with I C 5-11-10-1.6 , 20 Clerk-Treasurer I 1 Voucher No. Warrant No. i 360144 Canada, Cyndi Allowed 20 11508 Lucky Dan Dr Noblesville, IN 46060 In Sum of$ $ 319.02 i ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT % Board Members Dept# 1081-5 Reimb 4343000 $ 105.79 1 hereby certify that the attached invoice(s), or 1081-99 Reimb 4343000 $ 213.23 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 1 March 25, 2015 'P*M"vn1A) Signature $ 319.02 i Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund