HomeMy WebLinkAbout175050 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1
ONE CIVIC SQUARE DARRELL D NORRIS
CARMEL, INDIANA 46032 101 2N0 AVE SW, #2C CHECK AMOUNT: $188.00
CARMEL IN 46032
CHECK NUMBER: 175050
CHECK DATE: 7/22/2009
DEPARTMENT AC PO NUMB INVOICE NUM AMO DESCRIPTION
1160 4343004 155.65 MILEAGE
:z
1160 4355100 X 32.35 PROMOTIONAL FUNDS
r
C
/,rte �7�����
Kona Gr i 11
1459E) Clay Terrace Blvd
Caniiel, IN
(13 566-1400
Id PM OOB:: It-,/ 1
06/19/2009
lile 4(A/1 9 4 u AUU3
4194306
uaru lo.AY,7,XlXXXlXxx
l'ibullia ic card present:
Appro'liak 02,
Arnouni:: 10.85
T p: 00
Total:
Cc)
l ease ease Leave Signed Copy
Ate 5
Cafe 1
Ca[NRl IN 4602
Phone:
F0%� 31/tGO�44b
�2 ;3)8 2:20:40 PM
Cashier: Step
I ICED GREEN TEA 2.23
511) TOtO1 2.28
TOX L 21
70tul Cg)
CdSU 5.0U
change 2.50
T['| UP U0N N� �0� 0OlQP
H�[
AND YOU MAY NlN $2000
GO TO WWII. PANERASURVEY.CON
OR CALL 1-877-467-8438
WITHIN 48 HOURS/ MONTHLY DRAWING
RULES Al NNN.PANERASURYEY.CUN
TO GO
U0 U[ A J QUN��r q78
�vw �/Um ��wn�w |o.
P f /M
U� A00�
�uuiun/u [w�u/
u
WELWORTH LOCK CO.
845 N. Illinois Street
Indianapolis, Indiana 46204
PHONE 634- 67
Since 19 5
DATE O
NAME
ADDRESS
PHONE
SOLD BY I CHARGE O ACCT. I C.O.D.
OTY. DESCRIPTION AMOUNT
G r Da
O
G J
TOTAL
Row Printing
7
PRESCRIBED BY STATE BOARD OF A CCOUNTS
GENERAL FORM NO. 101 (1986)
/J f MILEAGE CLAIM
C l y d-(- TO
(GOVERNMENTAL UN T)
ON ACCOUNT OF APPROPRIATION NO. FOR
X111 7l�
OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO
SPEEDOMETER
READING AUTO MILE
NATURE OF BUSINESS MILES
POINT POINT START FINISH w TRAVELED
PER MILE
A U IZA Tel- r�GxrvGc -Ir "Z ✓�'4 U.ct c.�r J'i D
IV-
d C�✓U /GCE .N �d. cNr�r C��r�� �.QV c 26,�C�Ura
q 40
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
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.
0 That it is duly authenticated as required
c 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
p ro 0
n
Allowed 19 M w
T
in the sum of ID
a�
0 0
a
m
m Q
w
m p
m o.
fin] p
(Board or Commission) P- n
CD
FILED m a rt
w m
rA+ n tD
L� W (D
N
(Official Title) p m
O m
1G
tr N
A.E. BOYCE CO., INC. MUNCIE, IN 01136
l
I
FAEFC,IIB� BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTA UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DUARTM -OR IN
SPEEDOMETER
DATE
FROM TO READING AUTO MILEAGE
NATURE OF BUSINESS MILES x
POINT POINT START FINISH TRAVELED PER MILE
0 0
c C'i
f 11 In
z 4 2
AUTO LICENSE NO. TOTALS 0
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
Y
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
rn O
On Account of Appropriation No. 5 3 yr for Disbursing Officer
o tr a
ay M
Allowed
in the sum of ]r a
CD
two �a
a.
a
tT
a
K 51,
t a
w
o co
m
o QL n
0
(Board or Commission) o
w
C a
FILED
a (o
a_ a
'A
(Official Title) 0 o
0
s m
a b
sr
t7' N
R.E. BOYCE CO., INC. MUNCIE, IN 01136 n
J
r+
t
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
7/20/09 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))
6/9/09 Recei t Key for Kira case $7.00
6/9/09 409 1 Lunch mt Japanese Garden $22.85
6/23/09 203878 Drink: lunch meeting -'SSI Energy $2.50
Total $32.35
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.
7/20/09
ALLOWED 20
'Darrell Norris IN SUM OF
One Civic Sq
Carmel In 46032
32.35
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional funds
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4355100 $7.00 bill(s) is (are) true and correct and that the
409/1 43551R$00 $22.85 materials or services itemized thereon for
203878 4355100 $2.50 which charge is made were ordered and
received except
20 9
n .Sign r
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund