HomeMy WebLinkAbout254074 02/05/16 �/ CITY OF CARMEL, INDIANA VENDOR: 360144
® ; ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $*******154.32*
:� ;_�; CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 254074
°M,�*oN�. NOBLESVILLE IN 46060 CHECK DATE: 02/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 020116 154.32 TRAVEL FEES & EXPENSE
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
1/7/16 Reimb Mileage 8/4- 12/22/15 $ 154.32
Total Is 154.32
1 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
$ 154.32
i
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Dept#
1081-5 Reimb 4343000 $ 154.32 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
January 27, 2016
Signature
$ 154.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i+-..
JAN .2 7 2016
PRESCRIBED B7 STATE BOARD OF ACCOUNTS ------ GEN➢,811L RL ItG.1Q1(IV84)
i
MILEAGE CLA�MI�
(GOVERNMENTAL UNn) ON ACCOUNT OF APPROPRIATION NO_ FOR
(OF-.I=BOARD,DEPKRT►37Ir OR 1NS[TTUTION)
D T FROMTO SPEEDOMETER AUTO MILEAGE
READING + NATURE OF BUSINESS was (d .!.:;-7-5 t
POINT POINT START FINISH TRAVELED PER MILE
rn
CC__ 3,
Mn -
vr
n-'3 c>
CVIYA,1
Iry r AnaCh "
C- A-C> S'
i
C�l
a
c_
-;
-�
i
mc.C_ 1
rT
s
AUTO LICENSE NO. TOTALS 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 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 o part of the same has been paid.
Date _ —
JAN -2 7 2016
i
PRESCRIBED BY STATE BOARD OF ACCOUNTS 1�i-` GCNFAALFORY liC.101(IQ86)
MILEAGE CLAIM
TO 151"
(oovrRtuiENrAL TTNTT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OF.TCE,BOARD.DFIARTLer(T OR TNSrn Ur1ON) -
SPEEDOMETER AUTO 11%yA!:
DATE FROM TO READING .( G. f
1 POINT POINT START FINISH NATURE OF BUSINESS
TRAVELED
PER MILE
Z
(^ 2 Zsz
Pb
I _
'L AAT
Ce e. '
LA-1
leg -hr / �
r `I
Ids C� ,
Yn CC' l L
` r-n
1W rn cc_
fn
2 1 ZZc,. ( 51 n
O'
` S05fifu
AUTO LICENSE NO. TOTALS .S 14 15Lp
+ 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 duo,after aliowing all just credits.
end that ITz qrt1l c the same has been paid. ,• (�_
Date I 1
=_ _ 7-4-,�
rsrscRlaro BY sTATr aoARo or A.CCCtlNiS
JAN L227 2016
co+Enu rose uc. i naeay
MILEAGE CLAIM
(OOVEaNHENrAL UNIT)
ON ACCOUNT OF APPROPRIATION NO_ FOR
20 �} (O_—,—AW,PEPARD@C7 OR I"smurlON}
TOET
1 FROM HEADING ER AUTO UILEAGE
POINT POINTSTAAT FINISH NATURE OF BUSINESS MILES (§y F �►.� c
TRAVELED PER MILE
-
t_ c r
rn 1 ;
a _
C 4 r rv�
ri V 0. re-
C Pr-
L7 RC1 G1 �r
-- - _ NLrr _ 2�
C)
rt1 51 3
,
AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. t LJV •../
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 thatno 1p rt of the same has been paid. t
Date C✓�'--