HomeMy WebLinkAbout329608 09/05/18 a`! CITY OF CARMEL, INDIANA VENDOR: 360144
® ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $*******160.55*
CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 329608
NOBLESVILLE IN 46060 CHECK DATE: 09/05/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 160.55 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 360144 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Canada, Cynthia Payee
11508 Lucky Dan Dr
Noblesville, IN 46060 In Sum of$ Purchase Order#
360144 Canada,Cynthia Terms
$ 160.55 11508 Lucky Dan Dr Date Due
Noblesville, IN 46060
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-5 Reimb 4343000 $ 160.55 Board Members 8/20/18 Reimb Mileage 4/4-8/3/18 $ 160.55
I 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
$ 160.55 Total $ 160.55
August 24,2018
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
CFWMAL FOAM RO J0111990
eACSCmeeD BY STATt BOARD OF A[SOUNTS
MILEAGE CLI j.11 A� '—` .
TO
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jGOVnDn1ENrAL um ON ACCOUNT OF APPROPRIATION NO. FOR —
iOF?JCE,BOARD,DErAR'DQTR OB n;smmloN) -- �„
qpEEDOMET
FROM TO I—` READING +� NATURE OF BUSINESS MILES o-5
ZAGE
DA�TE � �
POINT POINT START FINISH �VELM PER MILE
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AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns are to be used only when dislance between points cannot be determined by fixed mileage or official highway map. L p
Pursuant to lite provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is lusl and correct,that the amount claimed Is legally due,afterali6wini all}uel'c>edits 'SJ
and thai?p -part of the same has
--been paid. �
Date `
AUG 232018
l
1
I1 509 L..u..c—t�k-s i�sc--r\ fir
GFlD'AALfOAM NG 1P1{]9861
PMCM!£D BY STAT£BOARD OF ACCOUNTS
MILEAGE CLAIM
TO_ a—,
IGOVEIWMENIAL 110M ON ACCOUNT OF APPROPRIATION NO. FOR —
-' tofPICE.BOARD.DEPARTMW OA 19Snfm'ION)
FROM TO — — �'— BEADING TI]t AM= @
DATE NATURE OF BUSINESS X17-..j- �
POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS m
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map,
going account is just and cozrecl,that the amount claimed is legally due,after allowing all Lust credits
Pursuant to the provisions and penalties of Chapter 185,Acts 1953,I hereby cattily that the fore .
and that no pari of t Te same has been paid.
Date
CLIVEID
AUG 2 3 2010
RY:
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM NO.101(19116)
MILEAGE CLAIM C - �C
TO_ -—_—�A t'-1
{GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER
DAT READING -{ AUTO
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OF BUSINESS TAMILES A FLED a C MILEAGEC
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AUTO LICENSE NO. TOTALS j
r W
+ 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 nq part of 1he same has been paid.
Date
ifAUG
2 32018
:...._.._ ::.