155837 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1
ONE CIVIC SQUARE DARRELL D NORRIS CHECK AMOUNT: $268.12
CARMEL, INDIANA 46032 101 2ND AVE SW, a2C
CARMEL IN 46032 CHECK NUMBER: 155837
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343001 18.00 TRAVEL FEES EXPENSE
1160 4343002 99.00 EXTERNAL TRAINING TRA
]:160 4343004 116.12 TRAVEL PER DIEMS
1160 4343005 35.00 CHAMBER LUNCHEON FEES
1
X1200$ AFB'i°
lis auTo S44O W Z.
2008
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EXCH GES
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CARMEL 0 FISHERS 0 NOBLESVILLE 0 HAMHLTON
NORTH 0 SHERIDAN 0 WESTFIELDO Date lanuaryl4, 2008
Received of L L l o 121 +.p Amount 15.00
For Legislative Breakfast
Carmel Chamber of Com merce
ate: January 16, 2008 RECEIPT
35- 1830990
isl�ers
Amount Receiv
P.O. Box 353 Cash Charge:
Fishers, IN 46038
317 578 -0700 Received of:
317 578 -1097 Fax
www.FishersChamber.com For: Professional Workshop
„GUE b jL uH EC 1 V m
I YnT� Guests Sery 5.17 618 6 T
APP T S L —ENTREEVEG/POT— DESSERT —BEV WOWS S LIBRARY
RESTAURANT
ICI E MAIN STREET
;ARMEL, IN 4GO32
AL ID.; 71081
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Jan 17. 1 .8 TIi9E; 1s
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18i. =51.74 :0r =s1,94 25l =42.43
C) C�
UAUE A NICE DAY,
Tax I,
Tot CUSTOMER COPY
V
SYSCO CORPORATION, HOUSTON, TX Reorder 04604476
Guest Receipt
Date Amount Guests 1761 8 6
:C:)
71 65/749 114'4
F DARRELL D_ 9000131862
101 2ND AVE SW APT 2C
CARMEL 46032 -2027 US a 0/
,gip i 7
r, eordero{�Q -L'r `.lam -U�
First Merchants Bank
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www.chmta.com
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
y TO
,p
(GOVERNMENT AL UNIT)
J' ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITU ON) r
J
SPEEDOMETER
MILEAG
FROM TO AUTO
ATE READING
ILES POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
,y> L
0 f a
cJ' c'd' G✓ ?F
ZM—
f i f 5 /r'1G t1
77v Mm-
r
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. C
o 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
cD p
m N
;7 A
Allowed 19 0 a o a_
m
'o rtw m
in the sum of rt m
m
a
cu a
m m
a rn
y
Cp (D O H
rn co a
a
ao
0 tr O
n '4 -4
(Board or Commission) P. n
rt
n a
FILED cD Ci
c(
rA
0 m
y
CA a (D CA
(Official Title) O D
O cD
O
(D O
P tr
A.E. ROYCE CO., INC. MUNCIE, IN 01136 1Q O GL
I
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
0 �xs_ Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
&73 Z4
n M �0 Its '-6 r)'V t�/�� C .7 v V
9 CA o At 9�11 ac
6)
I 0 ZZ
u
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same i accordarnp
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
WA Xx
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
2)LA3D0� 7, bill(s) is (are) true and correct and that the
3 3pO5 Q materials or services itemized thereon for
h' y3L� CGS 1 6,00 which charge is made were ordered and
received except
3COZ 0�
NUc-Md X13 /6 l
7
Z
20
Signatu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund