HomeMy WebLinkAbout160498 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1
ONE CIVIC SQUARE DARRELL D NORRIS CHECK AMOUNT: $201.13
CARMEL, INDIANA 46032 101 2ND AVE SW, #2C
CARMEL IN 46032 CHECK NUMBER: 160498
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1160 4343001 155.68 HOTLE- MISSISSIPPI
1160 4343004 45.45 TRAVEL PER DIEMS
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Long Beach Lodge, LLC Sales Re ce a t
305 Church Avenue
Long Beach, Ms. 39560 Date Sale No.
5/16/2008 558
Sold To
Darrell Norris
One Circle Square, 3rd Floor
Carmel, In. 46032
Check No. Payment Method Project
American Express
Description Qty Rate Amount
Daily Lodging Southern Comfort 10 139.00 139.00T
Lodging Tax 5.00% 6.95
Sales Tax 7.00% 9.73
A'w
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Thank you for selecting the Long Beach Lodge
Total $155.68
TbJ9/ cribed by Slate Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Darrell Norris Purchase Order No.
,One Civic Square Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/16/08 558 Hotel room for Darrell Norris traveling on City of $155.68
of Carmel business delivering automobile to the City
of Longbeach, MS for Hurricane Katrina relief
Total $155.68
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.
5/9/08
ALLOWED 20
Darrell Norris IN SUM OF
One Civic Square
Carmel IN 46032
155.68
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors 4343001
Travel Fees Expenses
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
558 4343001 $155.68 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
20
deK
Si at� re
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
�f� MILEAGE CLAIM TO
(GOyEANMENTAL UNIT
O�� ON ACCOUNT OF APPROPRIATION NO. FOR
AM
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER READING AUTO MIL�EAG�E
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
C /h d� rGc
CL et "rAa 7W
O i9 .0 l vrl 7T 7V
o lneeM m k Ezy 40 i���d'u♦tGcS� 07 7' 141
"9FC c4- 7D �9C7C e "w A.?r r R co
c
O ,4 76z co. ,•2
1,7 C6
AUTO LICENSE NO. TOTALS �-1
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 tT' a
A. Za o.
w 0 O
0
Allowed 19 M a 0 a
in the sum of
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CD
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a
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p N a'
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0
0
(Board or Commission) 0 rt
a
o A. a
FILED
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(Official Title) O „O
C M
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A.E. BOYCE CO., INC. MUNCIE, IN 01136
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
5/23/08
An invoice or 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
Darrell D. Norris Purchase Order No.
101 Second Ave SW 2C Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/22/08 Milea e Log Mileage reimbursement for City of Carmel business 45.45
Total $45.45
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.
5/23/08
ALLOWED 20
Darrell D. Norris IN SUM OF
101 Second Ave SW 2C
Carmel IN 46032
45.45
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors 4343004
Travel Per Diem
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Mileage Log 4343004 $45.45 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
20
SI atut<e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund