156522 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 360144 Page 1 of 1
ONE CIVIC SQUARE CYNTHIA CANADA
CARMEL, INDIANA 46032 CHECK AMOUNT: $99.37
'11508 LUCKY DAN [?RIVE
NOBLESVILLE IN 46060
CHECK NUMBER: 156522
CHECK DATE: 2121/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPT
1046 4343000 99.37 TRAVEL FEES EXPENSE
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Y
"C2
ER ESCRIBED BY STATE BOARD OF ACCOUNTS C I VED
GENERAL FORM NO. FOl (1886)
JAN 2 8 2008 1 1 ILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
BY' ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) I
i
DATE FROM TO S R EAD NG T
AUTO MILEAGE
I 1 NATURE OF 'BUSINESS MILES G
9 s
POINT PONT START FINISH TRAVELED
PER MILE
a i i e- 3
S i fe___ 3
i T� o.
c �t -D.
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 tify map. i G
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby cer that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all jus c e is D
,end that no part of the sa a has been paid.
Date 2-zo�
Claim No Warrant No. I have examined the within claim and herebl
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as require
by law
That it is based upon statutory authorii
That it is apparently Correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o tY w
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Allowed 19— M
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in the sum of F,
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(Board or Commission) H c�
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(Official Title) N a
A.E. BOYCE CO., INC. Mtl4=, IN 01139
PRESCRIBED BY STATE BOARD OF ACCOUNTS P WE
GENERAL FORM.Nn. 101 (1966)
JAN 2 8 2008 MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION
I
SPEEDOMETER
MI A�E
DATE FROM TO i READING AUTO NATURE OF BUSINESS MILES x
19 POINT POINT START FINISH TRAVELED 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. I
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
.end 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
a) M O 0
N
0 n
Allowed 19 a
in the sum of fr c`oo. o
co
M 1
w_
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a o a
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FILED
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(Official Title) o o
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A.E. BOYCE CO., INC. MUNCIE, IN 01136
PRESCRIBED BY STATE BOARD OF ACCOUNTS GEW FOR91 NO. 101 (1986)
RECEIVES MILEAGE CLAIM
JAN 2 8 2008' TO AA
(GOVERNMENTAL UNIT)
BY: I ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) I
SPEEDOMETER
DATE
FROM TO READING
AUTO MILEAGE
NATURE OF BUSINESS MILES S'O S x
19 POINT POINT START FINISH TRAVELED
PER MILE
1
1 3 S
MnV T MC'e��n
,n YYl art.
cz
c O r n A D
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i
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o 5
k_ s
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rh C� k 3
1 n m o G 3
0 k n --e \r 3
S rn o r� ry. o\-.a "'J k__ r\ ,-o i t- L 3
AUTO LICENSE NO. TOTALS
C T S y
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 thelforegoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
.and that no part of the same 4as been paid.
Da €e 1��
i
Claim No Warrant No. I have examined the within claim and hereb}
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as require
by law
That it is based upon statutory authorii
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o W
p In m
m
0
CL
Allowed 19 M 0 w
o a a
in the sum of b m. CD
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m a, rr
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(Board or Commission) 0 0
FILED
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(Official Title) O o
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A.E. BOYCE CO., INC. MUNCIE, IN 01136
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
t 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.
Cyndi Canada Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/22/08 reimb. mileage reimbursement 51.40
1/28/08 reimb. mileage reimbursement 47.97
Total 99.37
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Cyndi Canada Allowed 20
In Sum of
99.37
ON ACCOUNT OF APPROPRIATION FOR
f
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343000 99.37 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
13 -Feb 2008
i u
99.37 Business -vices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund