157184 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1
ONE CIVIC SQUARE DARRELL D NORRIS
0 CHECK AMOUNT: $166.07
CARMEL, INDIANA 46032 101 2ND AVE SW, #2C
o� CARMEL IN 46032 CHECK NUMBER: 157184
CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT D
1160 4343004 108.57 TRAVEL PER DIEMS
1160 4343005 35.00 CHAMBER LUNCHEON FEES
1160 4355100 22.50 PROMOTIONAL FUNDS
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Right Store. Right Price.
1217 S. RANGELINE RD,
317 846 -4818
YOUR CASHIER WAS USCAN
KROGER P
BCCO COFF CK' 3.50
TAX 0
BAL E 3.50
REFft: 000000
PURCHASE: 3.50
^ASHBACK: 0.00
OTRL: 3.50
3.50
CHANGE
1];Puent a 959 85 4 333
e ewards Per salon discount
off your fuel Purchase
each time you spend $100 in .groceries.
Accumulate now through 02/29/08
Redeem now through 03/31/08
*Certain Restrictions aPP14
*See store for complete details
Qualifyins Ss this order E3
Qualifying $S this month $3
*SEE WHAT YOU ARE SAVING TODAY,(
BY USING YOUR KROGER PLUS CAP,D,YOUR
ANNUAL SAVINGS TO DATE IS $5.16
T ANK YOU FOR SF PP1NG KROGER
CUSTOMER SERVICE IS EVERYONE'S JOB.
LET ME KNOW HOW WE ARE DOING.
CHARL BECHEL, MANAGER
I
First Indiana PiazcD
135 N. Pensylvania St.
Indianapolis, IN 46204
zee Computer Number: I
:ashier: Q lames ID #20
Transaction Number: I IU 128023
E ntered: U V �a� 02/06/08 8:17
v
Exited: Wi t 02/06/08 20:33
Ticket #5335 ispenser #2
Rate Daily Rate
Total Fee:
�asF $11.00
Thank you for choosing
Denison Parking
HAMTLTON COUNTY CHAMBER COALITION
CARMEL 0 FISHERS 0 NOBLESVMLE 0 I-JAMIILTON
NORTH 0 SI-IERIDAN 0 WLSTFIELDO
Date: February 11, 2008
Received of _hl+p nL I Amount 15.00
For Legislative Breakfast
Carmel Chamber of Commerce
Date: 02 -13 -18
Carmel
Chamber
n:l.�l,:i �r,r pis, Sh�:�F,l $i:rre+•
Received of u Amount: 15.00
For: Monthly Luncheon
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I N I OF VS I I Y F4 AI :F
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STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
I, Darrell D. Norris, being duly sworn upon my oath, state that I personally expended the
following sum of money for the admission fee to attend the Carmel Chamber of
Commerce, Taste of the Chamber, wherein I met with several Carmel constituents to
discuss various projects which involving them and the City, for which I need to be
reimbursed:
January 24, 2008 5.00
TOTAL: 5.00
Dated this 27 day of February, 2008.
Darrell D. Norris
Subscribed and sworn to before me, a Notary Public, this day of February, 2008..
Notary Public
Printed Name
Resident of County, Indiana
My Commission Expires:
i
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
C y- TO
GOVERNMENTAL U
Ai- 6. �l n ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR-INSTITUTION)
SPEEDOMETER
DATE FROM TO READING AUTO pMILEAG� MILES
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
C"z- L'C, U G7Ci /i C //'1�' C'" r
ZI
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46r- e
1 i" /'7L'`C /f r
1 s7 L C G /-f 1.
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Z
AUTO LICENSE NO. TOTALS
S i
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 I have e am n a the within cl m and h mb
IN FAVOR OF certify as follow:
That it is in proper form.
That aa duly authenticated as RgUe
by law.
That aa based upon statutory authority
correct
T«aaapmmR $incorrect
On Account d& Disbursing Officer
Appropriation o Ka 6!
o tr a
a§\
E
n
Allowed ,19
in the mm a$
G
(D
E�
o
(Board or Commission) o R
a
0
FILED
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■77
(Official Ti!m o
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BOYCE Co., INC. _CIE, IN 01136 a
'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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0_1 hc'�i: Z le�lC?
-7 CIYM C" —/`r 1-k
2Z 2 .,C�ll `�ie1 �f Zi �'ct C �C/�ic.� �j'i!"�' U C��
j l e l
7 r
7 r J
Total j. L
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- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
07
ON ACCOUNT OF APPROPRIATION FOR
o roc e s a en
Board Members
Z/ 3 "7 &A
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
"i materials or services itemized thereon for
i y3ovs 5,670 which charge is made were ordered and
y.so os �V received except
1 1.3 S S /av �d
&Z y e130 a s`
1 3 o o
20
r S' nat4re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund