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HomeMy WebLinkAbout179346 11/11/2009 "e. CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1 0 ONE CIVIC SQUARE DARRELL D NORRIS CHECK AMOUNT: $207.10 CARMEL, INDIANA 46032 501 2ND AVE SW, #2C M CARMEL IN 45032 CHECK NUMBER: 179346 CHECK DATE: 11/1112009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343004 122.10 TRAVEL PER DIEMS 1160 4343005 5.00 CHAMBER LUNCHEON FEES 3.160 4355100 80.00 PROMOTIONAL FUNDS PRESCRIBED BY STATE HOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGE CL f (f'dbVEANMENT L,NTTJ �=•j ON ACCOUNT OF APPROPRIATION NO. FOR T (O FF ICE, C✓` BOARD, D OR INSTTTUTION) DATE FROM TO SPEEDOMETER AUTO MILEAGE I READING NATURE OF BUSINESS MILES v Q POINT POINT START FINISH TRAVELED ER MILE 't f✓ILL� Tai lyy7 "v,JA„ c'd /1t'lI fit C`�?y 0 D 1/i're T.CJ�J qtr �C'cj --c til, Wr 49-Y 4 ZWJ f 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. 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 lega y due, after allowing st credits and that no part of a sanpe 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 oar a a Allowed 19 A m 0 a in the sum of a tr CD I w g M m E a CD o M CL a -4 gL A R- a p n M (Board or Commission) Pd M FILED m a G m (Official Title) 0 O m O. M m tr N. A.B. BOYCE CO., INC. Ktn+CR. 01 01136 n F PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) j MILEAGE CLAIM TO— VERNMENT L Nrr) O N ACCOUNT OF APPROPRIATION NO. FOR Az; (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) FROM TO SPEEDOMETER AUTO MILEAGE DATE READING NATURE OF BUSINESS MILES I POINT POINT START FINISH TRAVELED ER MILE U /LL .J C Co"v TY cv C 4&W C Co d N 0 C�'d !�i u Z�J �ii���ciuv -P eev C'c3�i�l. M(cl.. �s(l,a� /`C� 4f�/`��/ .t✓�d/ ..J�U,�il't�TilC� C d Q ..1,C1 �r ,sJ/. f cti�ir uw C v 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. 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'lega y due, after allowing st credits and that no part of a sa has been paid. i Date Z41 16"1 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 /AA, /b Disbursing Officer On Account of Appropriation No. for P. CD p �l!fi 1U�C f7( C�rrrl V to y3�'3vo Allowed 19_ O n m in the sum of NQ too m rt a m CD m K O (Board or Commission) A. w FILED out C* to b m to m w (Official Title) 0 o m G m 'tl Cr A.e, sorcF co., nrc. xtmcu, IN oliw W t P. Date: /0/4� Carmel Chamber Singular Focus, Shared Sucr... Received of: Amount: 5.00 For: Tailgate After Hours u Japan America Society of Indiana Annual Dinner: Ganbaranakucha! Wednesday, November 11, 2009 Japan America Soc Online registration at: www.japanindiana.org o In dia n a Name Title �sd r' 1 1 Annual ner Company ef �,�/C� Address OI L c I l c Pa&4? Ganbaranakuchal, City/State /Zip Email VA Phone S Fax Please list the names of your table guests on the reverse side or fax name list by Friday, November 6th. p� Patrons' Reception limited to Sponsor and Patron Guests. 1ChQ: Vt'7 %3 {�J— $r11�1Chla %Z°�a� hdJ Wednesday, November 11 2009 l,�Tcfc6�t �;�o)di��1i06�tctc4i�'�o Patron Corporate Table of 8 $1800 x Indiana Roof Ballroom Patron Individual $200 x W as h ington C Corporate Table of 8 $800 x W es t est V1Jasingt ®n Jtreet Individual $80 Indianapolis, IN 46204 jJ¢CifJ:� TOTAL AMOUNT e OD eueiese4 Please send invoice Patrons Reception Bill credit card Cl VISA MC l7 AMEX 5:30 -6'30 p..m. Name on Card Credit Card z Ex p, General Reception Billing Address 6'30 -7'00 p.m. i i am unable to attend; however, l would like to support the Japan America Society of Indiana by Dinner and Program contributing a donation of 7 -9.00 p.m. Please reserve by Friday, November 6th. No refunds after this date. Make checks payable to: JAPAN AMERICA SOCIETY OF INDIANA Patrons' Reception limited to Sponsor and Patron Guests. 39 West Jackson Place, Suite 50 J1�QJ Li?�i�J/b7.J {1�l1I�QiZ�>?`al Indianapolis, Indiana 46225 k t� U k4s 9 0 0) d� bai Ph: (317) 635 -0123 Fx: (317) 635 -1452 Email: admin@japanindiana.org l www.japanindiana.org Please register with the JAST office by 1 Friday, November 6, 2009 I I From: From: Theresa Kulczak [mailto: Theresa .Kulczak @japanindiana.org] :i- `GJ�Eu %r�� Sent: Thursday, October 29, 2009 4:44 PM :�7W J C, To: Norris, Darrell D Subject: RE: f=orget My Previous Question Darrell! Things are just crazy here right now. I want to respond in more detail and please forgive this short message for now! We really hope you'll attend the dinner! The prices are actually significantly reduced from previous years. It's important for Carmel to be represented. Wish you could get the city to cover it. As the message says, it's the "who's who" evening in the Indiana -Japan relationship, and you and Carmel are two of the "who's" O Hope you'll give it a shot! Theresa Original Message---- From: Norris, Darrell D [mailto:dnorris @carmel.in.gov] Sent: Thursday, October 29, 2009 4:04 PM To: Theresa Kulczak Subject: Forget My Previous Question now see the enclosed "white card" with the attendance costs Darrell z0 676 DARRELL D. NORRIS 09 -77 Tao w 4 669 101 2ND AVE. SW, #2C 7 700018171931 CARMEL, IN 46032 I DATE 111 f A PAY TO TH C G (J fJ f.! D ORDER OF l f'4 DOLLARS LJ o.avTa.e a MEMO 9/V6� /f�C NP Pr�scribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 11/9/09 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 Darrell Norris Purchase Order No. One Civic Sq Terms Carmel IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/8/09 Receipt Chamber vendor event $5.00 11/6/09 Check Japan-America Society dinner fee for Darrell Norris 80.00 Total $85.00 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. 1L�Q�09 ALLOWED 20 Darrell Norris IN SUM OF One Civic Sq Carmel IN 46032 85.00 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayor 4343005 4355100 Chambe Luncheon Fees Promotional Funds Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT- I hereby certify that the attached invoice(s), or Receip 4343005 $5.00 bill(s) is (are) true and correct and that the Check 4355100 $80.00 materials or services itemized thereon for which charge is made were ordered and received except 20 U Sign t e Cost distribution ledger classification if Title claim paid motor vehicle highway fund