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HomeMy WebLinkAbout303890 10/10/16 (9, CITY OF CARMEL, INDIANA VENDOR: 360144 ONE CIVIC SQUARE CYNTHIA CANADA CHECKAMOUNT: $*******389.03* CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 303890 NOBLESVILLE IN 46060 CHECK DATE: 10/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 091916 322.02 TRAVEL FEES & EXPENSE 1082 4343000 091916 67.01 TRAVEL FEES & EXPENSE Voucher No. Warrant No. 360144 Canada, Cyndi Allowed 20 11508 Lucky Dan Dr Noblesville, IN 46060 In Sum of$ $ 389.03 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-5 Reimb 4343000 $ 322.02 1 hereby certify that the attached invoice(s), or 1082-14 Reimb 4343000 $ 67.01 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 October 4, 2016 signature $ 389.03 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ACCOUNTS PAYABLE VOUCHER CITY OFCARMEL 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. CyDdi Terms 115D8Lucky Dan Or Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount Mileage 8/4-12/22115 Total $ 389.03 |hereby maffify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with|C541'1O4.o . 2D___ Clerk-Treasurer _ _ _ ISO ���1�� ���. 'AY- i SEP 2 9 2016 ' PRGSCRIEED B7 STATE HOARD OF ACCOUNTS GENERAL FORM NO.101(1980 SY: ILEAGE CLAIM TO (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO- FOR 1OF:1cr,BOARD.DFiARTMrxr oa INSTITUTION) ' SPEEDOMETER AUTO 21ILE E DATE FROM To READING + MILES ® G4 G f POINT POINT START FINISH NATURE OF BUSINESS TRAVELED YzR MILE C MCC_ A �• Tn•y- M lam— r ci �- V1L11— 51 fn C- Z ' AL- r ` -n y' ISM 3� l AUTO LICENSE NO- TOTALS 9 y`91 + SPEEDOMETER.READING columns ere to be used only when distance between points cannot be determined by fixed mileage or official highway map. swc 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 t(haIt part f the same has been paid. Date q t � RECEIZTED Vvc�\��u'� ll�, �iN q 000Lz'(D SEP 2 9 2016 PAMCRIBED BY STATE BOARD OF ACCOUNTS GEIIERAL FOAL!NO.lei Cann BY: MIL AGE CLAIM rorC lC� CCJ'Z 1GOVERNNENrAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE,BOARD,DE}ARnCE TT OA INSrMMON) All!J FROM TO SPEEDOMETER AUTO �ftii EIDE READING i- NATURE OF BUSINESS MILES POINT POINT START FINISH TRAVEL= PER MILE 1 c C, ic.rrt 4— S 3, ,d ) ' 1 r1l MMCI C rL4rt-'rAe— YYN.-r- s' iP� o• Fkl 31 1 C_ rin IH T I _11114 1 ic7 3 M 15-1 Wic C_ AUTO LICENSE NO. TO S 1 Qo 1 �ot + 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 1953,1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all just credits. end that nq part pf the same has been paid. Date 1 1 Le O CE�VE� '13 DU SEP 2 9 2016 PAlSCN1ECD H7 STATE HOARD OF ACCOUNTS BY•r--`--_ ' GENIMAL FOAM 110.101(INS) GE CLAIM .�r 9 , n �� _— (GOVMAENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. �FOR tOMCF,BOARD.DElAAThUXT OA INSTITITNON) SPEEDOMETER D�y`TlE� FROM TO READING + NATURE OF BUSINESS AMILES ® out E e –{Yt POINT POINT START FINISH TRAVELED PER max 44 Ch e+ 5c k?— ! al 1 C_ — 1 ' C 1 l - VI face m C iM v^ r - Ci Q 3; I S t�� •N _ r T _� � ; srn i tri 9LCrAQ 5-F 1 . R, TY 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- 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 1 the same has been paid. Date RECEIVED t36Uesv SEP 2.9 2016 F A PMCRIBED BY STATE BOARD OF' Br_• GENFAAL FOplid.G.IQl t1785)yl - AGE CLAIM � ro (GOVON(ENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OHICE,BOARD,DEPARTICWT OR INS ITVnON) FROM TO SPEEDOMETER AUTO MILE4GE DpTg READING + NATURE OF BUSINESS MILES ® o c�� t t•-,-` v� POINT POINT START FINISH TRAVELED PER max Moo VYN-T- Ch 00 ` D r v� Ae " - c.1R i sf' `v Ca ' r { („ V r' ti ,1 cLa t� c C-C imp 11n C.C— '- 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. 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 ofj the same has been paid. Date log pf DECEInbl e Sv t I l JCS LjLOpUD SEP 2 9 2016 PRESCRISED B7 STATE BOARD OF ACCOUNTS Gn1FAAL FOAL 110.101 tmn BY: MIL GE CLAIM C- l -c —" To Y (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFICF,BOARD,DEPARTMFM OB INSTQUIION) - i SPEEDOMETER AUTO E D TE FROM To READING + NATURE OF BUSINESS MILES ® g � _ POINT POINT START. FJNISH TRAVELED PER max _C_ Cyd _D li7 c J11 \ n Q ` iat AlA-- 5 i - C,C_ n`�-- t Ct . `� -T- r` Lf, C) l ;- , LA I G Ir S 44 C.3 rL --LI CL S n t t. - ti rice! C— Q ' yylvc Q f1 c TOTALS &I AUTO LICENSE NO. T 1 + 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. and that no partpf the same has been paid.. Date � v�� 15u Lc�Glc�� j SEP 2 9 2016 PRESCRIBED BY STATr BOARD OF AOCOLMS ,n GOIF.RAL FORM 110.IBI(1486) Y' E CLAIM ro (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFE)CF,BOARD,Dr1ARTl@FE OR 1N MMON) FROM TO SPEEDOMETER AUTO JdR„E?10E g9�w a c READING + NATURE OF BUSINESS MILES (¢� `� t L POINT POINT START F)NiSH TRA—K. PER MHz n '4-Ln' C---M[2 Q- L� C in , --7 0, C-ts cam ,C r ci s _ A-0, �-- re ;n 1 71 a -V - to ( c-cYJ21 cC- ze 4 . � r GGM, E 1A iS L ) 'G a IL- }�"7 ClY\ C— )M&CnieCN /fIlPell ^Q.S - C C- 1 1 t l '-L--) 1 LL m. ) \rte � tr.7C M.c i AUTO LICENSE NO. TOTALS 1 0 + 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 allowing all just credits: end that nop1art.of the same has been paid. Date h L � ' RECEIVE� � �eS v► ll� , .� �I(�c�(�C` SEP 2 9 2016 PRESCRIBED BY STATE BOARD OF ACCOUNTS i GF AJLL FORE!NO.101(1900 MILEAG CLAIM 11 (GOVMMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OF7cE,BOARD,DEPKRTW3D(T OR INSrnUIION) DATE FROM TO SPEEDOMETER AUTO tiII4 READING NATURE OF HUSINESH MILES Ra POINT POINT START FINISH TRAVELED PER MILE 0. f 1614-4 1t Y Cleo ip'I e- R 11-4 , - 9 c-- 9 ter- n Z9 c-4 E13--A fn 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. Pursuant to the provisions and penalties of Chapter 155,Acts 2953,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.of the same has been paid. Date �oo