159009 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1
o� ONE CIVIC SQUARE DARRELL D NORRIS CHECK AMOUNT: $120.08
CARMEL, INDIANA 46032 101 2ND AVE SW, #2C
CARMEL IN 46032 CHECK NUMBER: 159009
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343004 69.69 TRAVEL PER DIEMS
1160 4343005 15.00 CHAMBER LUNCHEON FEES
1160 4355100 35.39 PROMOTIONAL FUNDS
i
HAMIELTON COUNTY CHAMBER COALITION
CARMEL 0 FISHERS 0 NOBLESVILLE 0 HAMITLTON
NORTH 0 SHERIEDAN 0 WESTEIELEDO Date April 21, 2008
Received of 1/ Amount 15.00
For Legislative Breakfast
Carmel Chamber of Com merce
ti
S
Date:
Carmel
Chamber
J
Received of 2 Amount: 15 nn
For: Carmel Chamber Luncheon
ii 7 //t
Right Store. light P
1217 S. RANGELINE RD.
317- 845 -4818
YOUR CASHIER WAS USCAN
KROGER PLUS CUSTOMER *371
DEJA BLU WTR 5.99 F
TAX 0,00
BALANCE 5,99
*n *n *1258
PURC1 5,
PURCHASE 5.99
CASHBACK: 0.00
TOTAL. 5,99
5.99
IANGE
01 AL LJMB OF I TF Lill i 1
04/15/08 02 7Nm 59 84 51 33'<
**ro er Plus Fuel ewar s
Prior nths $S remainins:S221
eem 1),1 04/30/08
*Fuel Rewards
Receive a 10 cent per gallon discount
off your fuel purchase
each time you spend $100 in groceries.
Accumulate now through 04/30/08
Redeem now through 05/31/08
*Certain Restrictions apply
*See store for complete details
Qualifying SS this order $5
Qualifying SS this month $96
i
*SEE WHAT YOU ARE SAVING TODAY*
BY USING YOUR KROGER PLUS CARD,YOUR
ANNUAL SAVINGS TO DATE IS 1333.95
]HANK YOU FOR S _.PPING KRf1f,,El?
CUSTOMER SERVICE IS EVERYONE'S JOB.
LET ME KNOW HOW WE ARE DOING.
CHARL BECHEL, MANAGER
u/ Z
IM A k Yo u fo f Sho pping -with us!
fol udbugs Cajun Cafe LLC
W. In
Cstmel
Qt;< Deweiptio n Exw Ad
a
1.43 Red Bea as R ioe Sme II
MD09, 2.96 2.96
190 Soft Drink
BWI, 1.78 1.75
1.40 Seafood Gumbo -Regu b r
M004, 796 7.95
1.43 Soft Drink
9WI, 1.75 1.75
subto E444 --4' yv
Tsx18.00% O;W
T6x2 1.00% 4.14
1W IDM 4.14
Tots) WrA
NO $15.51
Fs id $15.&4, Us age $4 Ae
R
Notetutrltsftet3ods7s as /�IJ
Prescribed by State 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.
Payees p�
L Z3 U�/�1 f Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4 �o�o
/sh y� G�.�1i Cdr c� '€35r,o
y rJ j co .rr m t�� Lu rch eon <u+J
-.2 Y
s
y� 0 Cdrrr. c�jr�Lr�TI�' C b� �l1i54. P� °P
Total Sa.3
i
I 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- Treasur'r
I
VOUGHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATI FOR
(0 /yJ,or Y s Sivo
5' Y3 ovs
�v in rr e rc e eon PS Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
y�Ss /oo O bill(s) is (are) true and correct and that the
%3 o S'. 1 materials or services itemized thereon for
C 3 Y,3 o0 dd which charge is made were ordered and
moo. Lo a ,w Y3 Ss 1 e p received except
r--
i
20
Si na ure
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
'13 Y ?Oor
TraYet Per d,`-e,,,
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
vu` ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
l
SPEEDOMETER
FROM TO AUTO MILEAG
DATE READING
MILES POINT POINT START FINISH NATURE OF BUSINESS TRAVELED x
PER MILE
c� 1Y D
C' .�o6'GCyU /cue; 2r��0r/T� �ircr Cd /co�nc�i /3
C' 06 J r 70
TO C
D �C4Y /U d
Tt o c� uric c c� u. o .�-�6
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. 6/
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 W a
a r, a.
A y
a. tr
Allowed 19 M a w
b
�'w m
in the sum of m
co
a
N
CD A
m
K y
a
m co
W (D p
a
0
0
(Board or Commission) 0 n
a
FILED
a c(
a a
y m
W a
(Official Title) o
O m
l O tr
C tr
t C (D A.E. ROYCE CO., INC. MUNCIE, IN 01136 lQ A Q+ I
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
4/28/08 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 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))
3/19/08 Mi ea e b u s i nprrq 69.69
Total $69.69
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.
4/28/08 ALLOWED 20
Darrell D. Norris IN SUM OF
101 Second Ave SW 2C
Carmel IN 46032 -2027
69.69
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
Milea e Log 4343004 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
ignature�
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund