HomeMy WebLinkAbout183154 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1
0 ONE CIVIC SQUARE MICHELLE KRCMERY CHECK AMOUNT: $163.90
CARMEL, INDIANA 46032 433 AUTUMN DRNE
roe CARMEL IN 46032 CHECK NUMBER: 183154
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343002 REIMB 19.90 EXTERNAL TRAINING TRA
1160 4343004 REIMB 144.00 TRAVEL PER DIEMS
L A 3 3 P v,+
1-N q boa
3'a) o
Stf--fann'_: V-,,'aterfrant Pizzeria
2930 Waterfront Park'A a'y ~,'hest Dr,
Indianapolis, IN 46214
317-291 -8200
i:i -!1 arUJ ristorarite, co r'ri
Server; Rebecca 00050343
Table: tvlidtoo.e 21
12,59 :46 FT-1 3i3i2010
F:�'. =:1� 1ER.'f`ri 'IIi HELLE A
E pi
Aut is 055830
TruutD: 56741
Amount 10.12
Tip
Total
18% =1,82 =2.23 25'x'0 -2,53
CLJStCirTlPr' [Ynp',
f r Tr✓ l
U
L A 6
3J�ll�
Buffalo Wild Win
6129 Crawfordsville Rd.
Indianapolis, IN 46224
(317) 241 -9464
Store #3411
Date: Mar04'10 12:35PM
Card Type:
Acct XXXXXXXXXXXX1745 4
Card Entry: S�IIPED
Trans Type: PURCHASE
Trans Key: EIE00231540
Auth Code:. 03557C
Check: 863
Table: 125/2
Server: 275 Amanda S
Subtotal: 5 .7 8
Tip.
Total
Signature
Customer Copy
W /4 to
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
3/15/10 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
M i c helle Krcmery Purchase Order No.
433 Autumn Dr Terms
Carmel I N 4 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/4/10 Receipt Lunch for Michelle Krcmery $7.78
3/3/10 Receipt Lunch for Michelle Krcmery $12.12
Total $1 9.90
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
VOUCHER NO. WARRANT NO.
1 ,34 15/ 10
ALLOWED 20
Michelle Krcmery IN SUM OF
433 Autumn Dr
'Carmel IN 46032
19.90
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor- 4343002 External
training travel
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
Receip 4343002 $7.78 bill(s) is (are) true and correct and that the
Receipt 4343002 $12.12 materials or services itemized thereon for
which charge is made were ordered and
received except
3/15 20 10
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PRESCRIBED BY STATE BOARD OF Ac(DUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAI i
TO \�lX1k4Q
G
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
AUTO MILEAGE
DATE FROM READING MILES 5S a
NATURE OF BUSINESS
*9 POINT POINT START FINISH TRAVELED PER MILE
S L JL
r 1 2
ffi-a-Ung 1*
Jo G
C.VVC,
C.
film ki"
,t f
20 i w S DT
r4- Q.h
`1 CIA 0 a 5
1 ?e� s
MN1 5
Kj z
+y n r
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 that no part of the same has been paid.
Date 1 1
7 1 0 -2-
Claim No. Warrant No. I have exanined the within claim and hereby
IN FAVOR OF certify as follows:
Thatit is in proper form.
Thatit 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 rrr a
A- w
:1 m
F- c rn
a, a
o
Allowed 19 1 m 0 a
N o` w
m
in the sum of b m
m
a
,c C a.
m
o
N. M 4 m s
CL
Q
H
w p
(Board or Commission) o tD
0
FILED
w w
m
rn m m
a m a
H f�
y
(Official Title) o ID
Q 8
tr
m m
tj N.
A.E. BOYCE CO., INC. MUNCIE, IN 01136 C1 A+
P
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM -V
TO M�c�.e� 1� I CAC Y 2-r� `'1�3 t�w� to YV� -h��l V'� AJIXV.eX l�l�� r7
(GOVERNMENTAL UNIT) i
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER
READING
AUTO MI EA E
MILES
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MI E
I
M►J -2� v.T
Ka Vvr
a C�tiUC
bc� C rev i
0 r7'
i C S
2 Fau bad'C-
O 2,61 c ba
aC.ec. C nA� kA
2 23 'fZCi(2JJ �-E L1l
3 0 r 2`1 f`I
3 1LA U I�
sS Z Coo k_ -a-
20 0 N e v' 5 13q
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 ���JJr I VU
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 dui, a er aliowing all just origft-
and that no part of the same has been paid.
Date C
T om 2 o 2
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 tr a
J3 Y•3oo
y n
0 y
m
lb
0 n
Allowed 19 N 0 a
(D M
in the sum of 'ti
CD
m w d
CL
M
0 F
(D O N
m A a
a
a
a a. O
0 ,e
0
(Board or Commission) 0 rt
aLm,.
a
FILED A a
N (y
Cr 0 P
a_ a
Ch
w
a m
(Official Title) O
o O
O
0
tr
A.E. BOYCE CO., INC. MUNCIE, IN 01136 W a