HomeMy WebLinkAbout182853 03/03/2010 CITY OF CARAMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS CHECK AMOUNT: $84.70
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE
CARMEL IN 46033 CHECK NUMBER: 182853
CHECK DATE: 3!3!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 84.70 MILEAGE
I
PRESCRIBED BY STATE BOARD OF ACCOUNTS t2
GENERAL FORM NO. LOi (1986)
LAIM
TO—
_.I.S M
(GOVERNMENTAL UNIT) MAR V 12010 ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READING T +R AUTO MILEAGE
NATURE OF BUSINESS MILES 55
19 POINT POINT START FINISH TRAVELED PER MILE
ding C 11-or o O c c LL CC CC ,r
CC C C 3 8 01 t/1C Q fdfiRig C
K'ta 46L, G G e C I A /v W 4L VPZ4 4-110
o C 0 CC- 3 I5r VC WW E C 4a'
T d G
Al-41 A I U4
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NE C 1 C 14,qu, C C C -t3 i 24 63 4z
6 C c d' u
4 1 c Ohl
W 5 14"t
V 1 6 1 V D Vr L kAK c--- C Atu W U t 86C,4
tl7 N e Qu
a 0 q Al f 6 1AJO
id 4 q Ql�l✓ rC G GGCC l G L c7:
aK C- G e -C
6 e c s f5r AS LI) G.
d o CCC 1 l r L` d W O f V 0 G L C4 9JA -in r44nA 14141V,1
6 o G'vr'� C C i r 1
c 661z199 -C 1
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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
and tha no part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
correct
That it is apparently
incorrect
Disbursing Officer
On Account of Appropriation No. for
o tr' w
o m
Allowed 19—
in the sum of CD
w
m w tr
a
M
r F
cD m 0
M
p M n tr O
n .�v
(Board or Commission) a CD
P w
FILED E
Cs' p
W O C
CD
In M
rA
(Official Tide) O
O
C m
N
m
a g.
A.E. BOYCE CO., DIC. MJNCEE, IN 0113-6 f
to
I
oZ
PRESCRIBED BY STATE BOARD OF ACCOUNTS ZJ GENERAL FORM NO. 101 (1986)
D Q EAGE CLAIM 1 ELI
(GOVERNMENTAL UNIT) MAR V 2010 TO '4 d.
ON ACCOUNT OF APPAOPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) oy
DATE FROM TO
SPEEDOMETER
+R AUTO MILEAGE
NATURE OF BUSINESS MILES
19 POINT POINT START FINISH TRAVELED PER MILE
c. 7-RV
6 C C ✓E Odi C Q
O& G c S <QU at. CC C c 16 Oki NW l
Ci C CCC 3 i 1 -W L)Vg N dh.Q•Cii z- Ff CA "IC4
o hrJO s
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69 b,Jt� ClJ 0 rn,
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0 C G(V'L h0Lu G 4 CG "L i F 0
ti i 14 )1 cc CC, 3t Mr '9V ^f w 4aV-
c I hr 'A
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t �q V1 -I C46 6 ivw L.
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r saw c- a i
4-i'e l: n4ow, C.CGc- 0 1 iii Kt 1\/VV
C7 CGCc 61 N CcV' L k2�f7�4
AUTO LICENSE NO. TOTALS 2-
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 ue, after allowing all just credits
and that no part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
correct
That it is apparently S` incorrect
Disbursing Officer
On Account of Appropriation No. for
o 0 w
y w
t"s a 0
ID
Allowed 1 9— M p- 0,
,q m
in the sum of m
m
M N
a
co Qj
a.
m
w
0
cn m 0 m
m ro
a R o
tr
n m
(Board or Commission) El 0
a
FILED w m
d
a w
a m
(Official Title)
O
t M
M
p M
A -E. ROYCE CO INC. MUNCrr,
IN 1Y+ 4q 0 A.
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM P A
TO (GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER AUTO MILEAGE
DATE FROM TO READING NATURE OF BUSINESS MILES 0--5-5 a
19 POINT POINT START FINISH TRAVELED PER MILE
D Oq 4 td —c C
4J? a Ccc C- 3 U rG L
G hf L v
Q f" !ham C 3 (t C
v 2� c w d C) e w 3
og 0 e 3
ch v b h is 6A r�r Gal cJ or 6 o
C -G
p a c_ a e t �c 1� 3
d i o i C"' 4W
10 �ia o k 4r� to v jc
G l v,5 i C fs
I O Gi V i C l/ LJt/l f Cr
o C;ViL G- cam(, L5 -1 o f Go e 3
r
v 6 V'
0 r^ C 3J 1 1 2 7 VG l
0(1 A b c h'i V E 1/ C E aMJ
t)
AUTO LICENSE NO. TOTALS` 2 7o
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, T hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
and that r. o nart, of the same has been paid.
Date v3 1 0l 1°
l
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o Cr w
ar a
n g m
N n
Allowed 19� a a;
M M
in the sum of
w a
a
CD
a
V1 w
t0
CD
y
h
0 O. 0
Q
(Board or Commission) 0 Ig n
w
FILED a
to
C
fA
w m a
rt rA LO
(Official Title) 0 0
W r
(D (D (D
A.E. BOYCE CO.. INC. MUNCIE, IN 01136 0
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pam Griffiths
IN SUM OF
$84.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1202 1 080609 082609 I 43- 430.02 I $17.60 1 hereby certify that the attached invoice(s), or
1202 082709 092909 I 43- 430.02 I $24.20 bill(s) is (are) true and correct and that the
1202 f 093009- 1019091 43- 430.02 1 $42.90
I materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 01, 2010
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/24/10 080609- 082609 $17.60
02124/10 082709- 092909 $24.20
03101/10 I 093009 101909 I I $42.90
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