HomeMy WebLinkAbout188264 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 360144 Page 1 of 1
f ONE CIVIC SQUARE CYNTHIA CANADA
CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK AMOUNT: $76.55
NOBLESVILLE IN 46060
CHECK NUMBER: 188264
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 76.55 TRAVEL FEES EXPENSE
PRLSCRIBE ➢BT STATE BOARS OF ACCOUNTS GENFAAL FORM NO. 101 Onbl
MILEAGE CLAIM
TO
tr7OVERRl1ENTAL ISNIr1
ON ACCOUNT OF APPROPRIATION NO. FOR
(pF71CK, BORR �FaAR'rITETfT OR 7N5T1rU'SiON)
SPEEDOMETFA
DATE FROM TO i READING AUTO MILEAGE
2 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED t
PER MILE
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AUTO LICENSE NO. TOTALS.��
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits
end that n part f th same has been paid.
Date �C
JUL 1 5 2010
PRESCRIBED By STATE HOARD OF ACCOUNTS GoiFAAL FORM NO. 101 ON$)
MILEAGE CLAIM
TO-
1GOVFRNMENr AL MIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
tOF1ICB, BOARD, DLPARTlayl OR INSnTUTION)
FROM TO SPEEDOMETER AUTO �O E
DATE I READING
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TOTALS I
AUTO LICENSE NO-
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 aliowing all just credits
end that no o the same has heen paid.
Date 11��
L\An�
JUL 5 2010
U
By........................
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
7/13110 Reimb. Mileage 5117 7112110 76.55
Total 76.55
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 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
76.55
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -2 Reimb. 4343000 76.55 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
29 -Jul 2010
f&AL11LU2L)
Signature
76.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund