HomeMy WebLinkAbout161751 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 360144 Page 1 of 1
ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $102.85
CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE
NOBLESVILLE IN 46060 CHECK NUMBER: 161751
CHECK DATE: 7/23/2008
DEPARTMENT ACC PO NUMBER INVOICE N AMOUNT DESCRIPTION
1046 4343000 102.85 TRAVEL FEES EXPENSE
r
PRESCRIBED BY STATE BOARD OF ACCOUNTS
,GENERAL FORIrI NO!pl (1956
MILEAGE CLAIM JUL 0 8 2008
TO i
I
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR li
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READING AUTO MILE�GE
19 NATURE OF BUSINESS MILES �E�.
POINT POINT START FINISH TRAVELED PER MILE
71 c-'
r Y �dt r 'Z h �r rt C� r 1 A 9
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AUTO, LICENSE NO. TOTALS
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SPEEDOMETER READING columns are to he used only when distance between points 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 foregoivxg account is just and correct, that the amount claimed is legally du after allowing' all just
.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 ap parently
corzect
incorrect
Disbursing Officer
On Account of Appropriation No. for
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P o
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M
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Allowed 19_ 0
in the sum of S
w
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(Board or Commission) P, c
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(Official Title) 0
A.B. BOYCE CO.. INC- )IMCIE, IN 61136
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 10t (1986)
MILEAGE' CLAIM
TO
(GOVERNMENTAL UNIT) JU Q 8
ON ACCOUNT OF APPROPRIATION NO. FOR 2008
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READOME AU FEE GE
19 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
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C-
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�c�
5 1 2,iq a ka t
I log
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re n
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3
S'
AUTO LICENSE NO.
TOTALS
;SPEEDOMETER READING columns are to be used only when distance between points 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, fter 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 ty- p
m n
w Ai
m
a
Allowed 19___._ m o w
in the sum of
r1 N
R: p
Q
0
n M
(Board OI Commission) Q Ig 0
FILED m
Pn m
p
m
m
Or
(Official Title) 0 o 0
m
A.L. BOYCE CO.. INC. XL;$ E, 117 01136 M
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 102 (1986)
MILEAGE CLAIM
_D
TO UU
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
BATE FROM TO SPEEDOMETER AUTO MILE$GE
READING NATURE OF BUSINESS MILES so. 1 x
19 POINT POINT START FINISH TRAVELED PER MILE
71nc fs o
ry% Dh c 41 t.� r
7 t V'1 l V
0n �c.J 4L_/
rcr 0
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L 1 Cep
I L ep
a� IL
c' 3
AUTO LICENSE NO. TOTALS 3 S V
a
+.•SPEEDOMETER READING columns are to be used only when distance between -points cannot he 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.
Tate
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 CT' b
FZ m m
Allowed }.9. 0
M ��rt
.0 p: M
in the sum of m
r
r. to
I 51 CD
CL n
0
(Board or Commission) M n
m rt
aw
FILED
M
m CD
(Official Title) 0 m
Q �d o
A-& DOME CO., INC`.. MUNCIE, EM 01138
I
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.
Canada, Cyndi Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/08 reimb. Mileage 4/21/08 6/12/08 102.85
Total 102.85
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
i
Voucher No. Warrant No.
Canada, Cyndi Allowed 20
In Sum of
102.85
ON ACCOUNT OF APPROPRIATION FOR
104 Program
PO# or Board Members
INVOICE NO. ACCT• #/TITLE AMOUNT
Dept
1046 reimb. 4343000 102.85 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
16 -Jul 2008
Lp
Signature
102.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund