HomeMy WebLinkAbout201166 09/13/2011 CITY. CARMEL, INDIANA VENDOR: T358497 Page 1 of 1
ONE CIVIC SQUARE DARCY CASE CHECK AMOUNT: $14.10
CARMEL, INDIANA 46032 13154 DUNWOODY LANE
CARMEL IN 46033 CHECK NUMBER: 201166
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343004 9.10 TRAVEL PER DIEMS
1115 4230100 13879 5.00 STATIONARY PRNTD MA
Clcdm No. Warrant No. I have examined the within claim and
IN FAVOR OF
hereby 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
On Account of Appropriation No. for
Disbursing Officer
`V m
Allowed 20 m o
0 K;
in the sum of o
(D
I 0o
(D
m rA-�
n�!✓
`°m
m
N (D
(Board or Commmmon)
FILED (D R,
a
o
(Official Title)
O CD
CD R
G eneral Form No. 1. t 1955,
rescribed by State Beard c kcccuna MILEAGE qq gg p
�L/i5[tl1
TO DR.
,Governmental Unit)
u—'r, C C�'� L cyv On Ac count of Appropriation No. `'I" J. `7' for Loc
O Ice, Board. Department or InstituUonj
DATE FROM TO
ODOMET READING' NATURE OF ct SINESS AUTO (MILES MILEAGE �'s
20 Point Point Star Finish TRAVELED PER MILE
3l 3 i, o q CS PCIVU r rS
n i u it II I
I I
I
I
i
Auto License No. r TOTALS
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, 1 hereby certify that the foregoing account is just and correct. that the amount claimed is legally due, after
all all just credits, i nd that no part of the same has been paid.
Date
Sep. 12, 2011 9:53AM INDIANA STATE POLICE No. 0847 P.— 2 ,1 oft
Glass roster
Course Name: Operator Refresher Course
Class: August 31, 20119:00 AM
Class Location: public safety Building 17535 Dartown Road Westfield, In 46074
Instructor: Linda Gabbard
Students ORI Completed
CASE, DARCY INO29011N
PAULIN, KENT INO29011N v
httn: //10.17. 253. 241/ nextest/fulladmin /trL/classes.nl ?cmd =PPJNT ROSTER &STD 9/12/2011
VOUCHER NO. WARRANT N
ALLOWED 20
Darcy Case
IN SUM OF
13154 Dunwoody Lane
Carmel, In 46033
$9.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.04 $9.10
I hereby certify that the attached invoice(s), or
I I
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
Thursday, September 08, 2011
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/07/11 $9.10
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
Z
Ah
CROWN TROPHY Invoice
Date Invoice
807 West Carmel Drive 8/25/2011 13879
Carmel, Indiana 46032
Bill To
Carmel Clay Communications Center
31 1 st Avenue N.W.
Carmel, IN 46032
P.O. No. Terms Due Date
Net 30 9/24/2011
Item Qty Description Rate Amount
Engraving S... 1 Engraving Small Plate 5.00 5.00T
t DATE
Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $5.00
Awards Recognition Needs, Payments /Credits $0.00
Balance Due $5.00
Phone Fax E -mail Web Site
317- 818 -9400 317- 818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com
VOUCHER NO. WARRANT N
ALLOWED 20
Darcy Case
IN SUM OF
13154 Dunwoody Lane
Carmel, In 46033
$5.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1115 I 13879 I 42- 301.00 I $5.00 1 hereby certify that the attached invoice(s), or
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
Monday, September 12, 2011
Director 1
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
08/25/11 13879 $5.00
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