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
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DATE FROM TO SPEEDOMETER AUTO MILEAGE
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POINT POINT START FINISH TRAVELED ER MILE
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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
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
j MILEAGE CLAIM
TO—
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(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
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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
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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