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HomeMy WebLinkAbout189100 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364569 Page 1 of 1 0 ONE CIVIC SQUARE JEFFREY KRAMER CHECK AMOUNT: $200.86 CARMEL, INDIANA 46032 9269 W SWIMMING HOLE LANE PENDLETON IN 46064 CHECK NUMBER: 189100 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 200.86 TRAVEL FEES EXPENSE PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 103 (1986) MILEAGE CLAIM ���►�2 TO (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) DATE FROM TO READING SPEEDOMETER AUTO MILEAGE n" �c NATURE OF BUSINESS MILES Oa S T S1L� POINT POINT START FINISH TRAVELED PER MILE 1 'ti CA 1/'P 2A1 1AJ i,,) q.3 II A M1rJ Uf�c(5 /Y1CC a i -7 7! i C: C� I�LcI. r�tOCF:' c= +s' Zr�Y •CU �l`� t F +Cf� 1 6 Op t 10 3 j 11 1 <<O 'Z 1 z to 3 1 C Q T i S L S `SS z 10 L13 r -z 3 e� 1 •,U `I c CL 1 t1 9 A A A I,v 0f�-_7 CC 5 r 43 OCL T2A3,ur,�J Z.10 1 Aoi i) o c C C_ 17i of c_E Ct_ 7 iAA rrt (0 of P C c 43 +t 7121q ix) AUTO LICENSE NO. TOTALS 3 fv. LAO 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 ga due, a r allowing all just credits and that no part of the same has been paid. Date -7 {Z`71 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 a a M o f1 w [p Allowed 19 M 0 a M in the sum of Er sv a. r b m m co m o a m K a Q. n 0 t (Board or Commission) O FILE D 0 0 a m a a y m rA m f (Official Title) o M o m ts m 'd m p A.E. BOYCE Co., INC. MUNCIE, IN 01136 A PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGE CLAIM TO 1` (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) FROM TO SPEEDOMETER AUTO MI DATE READING POINT POINT START FINISH NATURE OF BUSINESS TRAVELED a PER MILE J C [/1�•ti C` a ZO i "ti CE VIi cC 2RiAd c °o ISz h v I`1 tin( i <E C rt I I i I w o r" C c I r tI m"Q G "tC CL rt Lit fSE/z. Rom 1 1.3 CJ ff 1 c 6 mcc i Ac 'JC z C( I MCC- Y i `It~e' U74 RA-LL, C/ 2M6 M IC .r JA 'U I k.) CY!6C( I JO Ce7lAJ 4?3 MCC 'i u w cV A4 CC. t i 2`z cAff C.Cq 77V/ fl)n;w 7 vt Z. yy cc- t' r r i Z -.i t t3 i;J O Ct &-c 2- i( C� tt tr cr Z, c f if iIil Ce. �r ;�,IN Vii, -rcti, S �t 7 Aam i kD A 4 Z AUTO LICENSE NO. TOTALS V 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 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 y o 0 n t pr rn p n Allowed 19 n w w a in the sum of w W rL fr m m y 0 m M n (Board or Commission) 0 Ig FILED Q a� .m w Q w m (Official Title) M o 0 t tr m A.E. BOYCE CO., MC. !UNCLE, D1 01136 t PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM No. 101 (1986) MILEAGE CLAIM TO c 1 (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) DATE FROM TO SPEEDOMETER AUTO MILEAGE READING MILES L, l POINT POINT START FINISH NATURE OF BUSINESS TRAVELED *;b c PER MILE r l u <-r S( c ,t i� f i sJ'�c� V AnrAio nFLPk c..E. �02�1.� Sp�:�� r.+�t�ic�l�2�v�i� l 3 U L+ scaoic6s k" r� aS t ;3D t t c- i� c t c- I� a 1 �O it G 3 0 c 42i E t l S rT d aJhc� MEl.7T .�E,t,� 1�3 O t� pM.ti r7 C on oc- Al" o 1 l t �J cE CL r lq} 7e V Ii I AMA 1 3Ca r 30 1 1 C C_ -7 Su (2 J 7l✓ h( O t i l C �c ✓�2r� S�tl�7 k7�f�ocJl� 1 -1 *100A e�) os' c ,vim 11 t c Cv f Q rA 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. j 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. That it is apparently correct incorrect Disbursing Officer On Account of Appropriation No. for o b' a a 50 Q. p w 0 N H CU Allowed 19 n 0 0 a w m in the sum of ro a a, cr M E m r a 0 (Board or Commission) P m A CL a FILED CD CD d a n W m (Official Title) o m 0 M. 't7 tr A.T. BOYCE CO., INC. MUNCH, IN 01136 10 n Jeff Kramer From: Sandy Stake (S STAKE @travelers. co ml Sent: Thursday, January 21, 2010 2:23 PM To: Jeff, Kramer Subject: REGISTRATION CONFIRMATION Travelers Safety Academy Fundamentals for Public Risk Managers 02/02/2010 to 02/03/2010 in Indianapolis IN Importance: High This message is to confirm your registration for Fundamentals for Public Risk Managers scheduled from 02/02/2010 to 02 /03 /2010.The training will be held at the following location: Embassy Suites Indianapolis North 3912 Vincennes Road Indianapolis, IN 46268 Phone: 317- 715 -4907 The workshop begins at 08:00 AM and ends at 05:00 PM. Note: Room block available, call early to make your hotel reservation and ask for the Travelers block of rooms. If you will not be able to attend the training, please contact me via return email or a phone call. Please let us know at least 48 hours prior to the session as we may have a wait list for the session and your place could be filled with another individual. Thank You! Sandy Stake Travelers Risk Control Home Office f Phone: 651 -310 -8490 Email: SSTAKE a,travelers.com t PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGE CLAIM TO (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) SPEEDOMETER DATE FROM TO READING NATURE OF BUSINESS AUT MILEAGE Q 1g' Ac t( POINT POINT START FINISH TRAVELED PER MILE 1 1 0 MZ GC_ o ii 3v �I ,J L 'e- cL iL 3C; I me w'-) c- f CC c a Tr --S i 3i; �t 1 3 U i i M ►3 (AC C Q 61'P/ i0 11 M IJ M �-i ZR t0Jloi-, (.?A 1 w 5 CCU tt M �E' GG_ t5l—< "(t 1 3c) tt I u� CC- Iv .0 D,L 1 1 30 it It.J o ['\A ct �2t`I,Ji EC TBIi� Ln 30 1 0 Lo 3G (c 13p T i Le t' 4. �'�CL. fl uu �21jC la 1 30 FA t i s. M c c— i 30 R6tAI0 nffi M C s 1 30 C M CC_ t a'e 1 3b r c c_ -i I L, (30 A c 30 AUTO LICENSE NO. TOTALS (Q SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. U 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. to 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. That it is apparently correct incorrect Disbursing Officer On Account of Appropriation No. for o tr cu w y 0 to M h (7 7 rn a n Allowed 19 n a_ n w a in the sum of a N W a tr m fD ey r Y 1 P (r1 m M n `11 (Board or Commission) Ig n p„ FILED w m M re w 0 W (D a (Official Title) K o m O m m A.E. BOYCE CO., INC. MUNCEE, IN 01136 PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1886) MILEAGE CLAIM K, :2 TO (GOVERNMENTAL UNIT) ON ACCOUNT OF APPAOPRIATIQN NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) DATE FROM TO SPEEDOMETER READING AUTO MILEAGE NATURE OF BUSINESS MILES Q 5� a 19 POINT POINT START FINISH TRAVELED PER MILE I Y`� VN "f C 'C Ci 1i I C 1 28 KJIN' 11 G L I rA M�►� Cam[ 11 t t A'J 10-- r 7 C_ D a-cc I V t M c C- 2 A1,,j 91. LO 3 i k) M C L A Iry I 2 i i M IS <-,s cc— Av L)AAJCL C1ST 3 3 0 tl I 1C U 2t] Can C A k tQ--- �0 1 0 Ar o t' ;k) c( c IrJ o1,( f 34 Z W 1 30 D AUTO LICENSE NO. TOTALS (p 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 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. That it is apparently correct incorrect Disbursing Officer On Account of Appropriation No. for o b' a p N o n m n g v° a p n `G Allowed 19 a x 0 m o in the sum of m m a SD a Q m M a y 1p O„ m a' a p 0 n (Board or Commission) 0 5 n M fD m a� FILED ro tr p w w m m a Or (Official Title) 0 O C m A.F. BOYCE CO., INC. MUNC¢, M 01136 A PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FOAM NO. lol (1986) MILEAGE CLAIM To (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) SATE FROM TO SPEEDOMETER READING AUTO MILEAGE fig} io NATURE OF BUSINESS MILES a POINT POINT START FINISH TRAVELED PER MILE L( v C Prl�in -Jk �S�E'rt/e STS z C`7 1 4 JC6 2ft u Ca 1 1 30 13 Ao tit I I C M c c- c' Z lfi 1 3U C Zo cL s; 1 2 to 3o l r 20 cE ct r Zi &79M IQ L l �M C cu '-oC 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 and that no art of the same has been paid. Date z.(p z O l U 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 051 tr' a o. -4 0 m Allowed 19 n 0 w b in the sum of r m m m m p. W M tA• a co o 0 CD p• O. p. n n (Board or Commission) 0- m n FILED r m m m a (Official Title) p O m O yID T ID yµ V A.E. ROYCE CO., INC- NSTpCQ, IN 0113E 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. Kramer, Jeff Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/26/10 Reimb Mileage 8/3/09 7/23/10 200.86 Total 200.86 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. Kramer, Jeff Allowed 20 In Sum of 200.86 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 4343000 200.86 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 12 -Aug 2010 Signature 200.86 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund