HomeMy WebLinkAbout249624 09/23/15 ' CITY OF CARMEL, INDIANA VENDOR: 360144
Ib it ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $**"****273.05*
* =a CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 249624
9MrON�pNOBLESVILLE IN 46060 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 RETMB 273.05 TRAVEL FEES & EXPENSE
PRE
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PAtSCA1MCD BY STATt BOARD OT ACCOUNTS MILEAGE CLAIM (' `AUG 2015 crNrau voxu 14c.101 11"63TO C���T� wn�-C�
(GOVMMLNTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(O"CY,BOARD,Dr?AA'TWDfr OR INSMUTION)
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AUTO LICENSE NO. T^I S 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 the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all just credits
end that no part o the same has been paid.
Date �T
AUG 2 g ?015
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AUTO LICENSE NO- 10
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+ SPEEDOMETER READING columns are to be used Only When distance
I hereby certify ntthat he foregoing acc unt isijus andtcotrect that the am unt claimed is legally due,after alioT t s'—
Pursuant to the provisions and penalties of Chapter / � �✓
end that n pert of the same has been paid. / �_ 'vSl r• --
Date �i/1� —
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.
Terms
360144 Canada, Cyndi
11508 Lucky Dan Dr
Noblesville, IN 46060
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s)or bill(s))
$ 273.05
8/19/15 Reimb Mileage 6/16- 8/4/15
Total $ 273.05
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$
$ 273.05
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
------------------------
PO#or
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1082-14 Reimb 4343000 $ 273.05 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
September 17, 2015
Signature
$ 273.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund