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
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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
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in the sum of Er
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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
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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
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(Board or Commission) 0 Ig
FILED Q a�
.m
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(Official Title) M o
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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
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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 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
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(Board or Commission) P m
A CL a
FILED CD CD
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(Official Title) o m
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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
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it It.J o ['\A ct �2t`I,Ji EC TBIi� Ln 30
1 0 Lo 3G
(c 13p
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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
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1 P
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(Board or Commission) Ig
n p„
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(Official Title) K o m
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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
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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
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(Board or Commission) 0 5 n
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(Official Title) 0 O
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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.
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0
m
Allowed 19 n 0 w
b
in the sum of r m m
m
m p. W
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tA•
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p• O.
p. n
n
(Board or Commission) 0- m
n
FILED
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m m a
(Official Title) p
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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