HomeMy WebLinkAbout168506 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1
ONE CIVIC SQUARE NANCY HECK
O CHECK AMOUNT: $274.61
.,a CARMEL, INDIANA 46032
CHECK NUMBER: 168506
CHECK DATE: 2/4/2009
DEPARTMENT A PO NUMBER IN VOICE NU MBER AMO UNT DESCRIPTION
1160 4230200 18.05 OFFICE SUPPLIES
1160 4343004 172.81 TRAVEL PER DIEMS
1160 4355100 33.75 PROMOTIONAL FUNDS
1160 4359003 50.00 FESTIVAL /COMMUNITY EV
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I rid iarial I i IN 46220
(317) 257--6635
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CHEESEBURGER 2.50
CHEESEBURGER 2.50
CHEESEBURGER 2 Malik
CHEESEBURGER 3.
HOT DOG 1.
�SEBURGER 2
KEN SANDWICH 3.1
os CHIPS 0.6
)S CHIPS 0.61
)s CHIPS
1 S CHIPS 0.60 T"' 00
S CHIPS 0.60 33 -75
STICK 2.00
JRINK CAN 0.75
SOFT DRINK CAN 0.75
SOFT DRINK CAN 0.75
SOFT DRINK CAN 0.75
SOFT DRINK CAN 0.75
SOFT DRINK CAN 0.75
ITEM CT 19
CHARGE 27.75
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Joe's Butcher Shop
Camel, Indiana 46033
317 -846 -8877
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tion it: 103053
1122/2009 Tine: 2:17:44 PM
001 Resister 2
Description Rnount
u1tL CertificateGift Certificate $25 525.00
Nunber: 1 .903
525.00
Gift CertificateGift Certificate S25
Nunber: 1904
Sub Total $50.00
Total 550.00
$50.00
M outh022088
Change Due 50.00
�011�3111111T 51` 1I 11E
Thank You for shopping I
Joe's Butcher Shop S t f /—Z
up. hmp. vnii' i l cane back soon'.
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO Id a-- I V
(GOVERNMENTAL UN IT) ON ACCOUNT OF APPROPRIATION NO. I 7 �p FOR 60 Y f
17 UhI1 `Wn. I'1✓7
Q (OFFICE, BOARD, DEPARTMENT OR I STITUTION)
DATE FROM TO SPEEDOMETER READING AUTO MILEAGE
NATURE OF BUSINESS MILES Q
POINT POINT START FINISH TRAVELED
PER MILE
3 r IAt wt H ra it s Sf+?1a �4'a' sIruc�° rc ca
,01 P P )(w V 01,A111 S Vu 1 �tPr Du .6 {�CC��ioA L.,,Irn 4. 4o.I� k
emu
10 �at7's ?n;f\! e_ PY, 1 1"* a- I
�Si 1 �1I 0 af rnp\ 150 b -74- CA
f itrn''le� rV� 1 r 't J I�
:3. l'Pxlr4 f �A6- }:/1U �,n �/,Gif_� f�la[jUL I 0.W7
5. leL 6.97
Q Cam' I `Cre Y' f t .St, i�r S. anAP riiIle, wi +V CGrr^ -L Ae, 4 1
W'& 1 r:,i r J a IS -42 CH 50
Clo b s u,Db) ;eS
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7 D 4 rs l'J SUI'U1 r: 3L_ \V
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Mfi_4a I D/� o!?n4 tk n r J��
X 1
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:10 1 4 G.: r C'. 1-! f-I i a 115R
AUTO LICENSE NO. TOTALS ''1 iGl Q 2 cs
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. r G
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, aft or aliowing all just credits
and that no part of the same has been paid.
Date s
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 trr a
0 0
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in the sum of m
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(Board or Commission) Q- rt
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m
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(Official Title) p (D
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N
A.E- BOYCE CO., INC. MUNCIE, IN DIM C
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
04�` c�md TO
(GOVERNMENTAL UNIT) ,f•'
s j ON ACCOUNT OF APPROPRIATION NO FOR F u
i
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION) J
DATE FROM TO S READ� G SPEEDOMETER AUTO ;IiERMILE E
NATURE OF BUSINESS MILES x
POINT POINT START FINISH TRAVELED
D na4 v foole
le-'s J• O."nr] Ie FI n
c5 1r2., Tvat f 2 1 5 M Nkv -a o b n c_c3 LL to c1
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e
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IT
AUTO LICENSE NO. TOTALS i f
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
i
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
0 LT IL
tj r 0
M a
Allowed 19
a
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in the sum of
m
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(Board or Commission) 0 rt CD
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(Official Title) o O m
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Cf' H
A.E- 80YCE CO., INC. MUNCIE, IN 01136 to A
PRESCRIBED By STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM n
TO r V -w t �C
(GOVERNMENTAL UNTT) 1 J� I FOR v ���e M ea &Z,
/l q) i ON ACCOUNT OF APPAOPRIATION NO.
I (OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING NATURE OF BUSINESS MILES Q T
19 POINT POINT START FINISH TRAVELED
PER MILE
q a c I' A. "f 1410 1
7 Q d 9 1 o nn r, t y� Fl fit 5 7 /a Y"t rn P 4 n
i" 'C W C— A h �i`a
I
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 J
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after liowing a just cre L s
and that no part of the same has been paid.
Date /lll
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 M a
0 N o 00
0 P
ai a
Allowed 19_ w w
b
in the sum of m
m
w
m w ter'
a
M m
m
[D tD 0
G P a
ID p
m a
Q. n
0
0
(Board or Commission) o n
a. m
Do
0 FILED m a
rt m m
a m a
rt U, m
(Official Title) o Q m
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N
A.E. BOYCE CO., INC- MUNCIE, IN 01136 a
'Prescribed 'by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
2/2/09 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
Nancy Heck Purchase Order No.
1326 Cool Creek Dr. Terms
Carmel TN 46033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/24/09 Recei t Notebook $18.05
1 RprPiDt Tjinrh for Connecting w Carmel crew $33.75
1/22/09 Recei t "Taste of the Chamber" raffle 2 gift cards $50.00
1/26/09 Milea e Log Mileage reimbursement to carry out City of Carmel $172.81
duties
Total $274.61
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.
2/2/09 ALLOWED 20
Nancy Heck IN SUM OF
1326 Cool Creek Drive
Carmel IN 46033
274.61
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4230200, 4355100,
4359003, 4343004
Office supplies, promotional funds.
Festival community events, Travel Board Members
per Diem
PO# or
DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s) or
Receip 4230200 $18.05 bill(s) is (are) true and correct and that the
Receipt. 435510 materials or services itemized thereon for
Receip 4359003 $50.00 which charge is made were ordered and
Mileage Lo 4343004 $172.81 received except
20
j�sign u
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund