HomeMy WebLinkAbout168626 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1
ONE CIVIC SQUARE DARRELL D NORRIS CHECK AMOUNT: $118.86
s CARMEL, INDIANA 46032 101 2ND AVE SW, #2C
CARMEL IN 46032 CHECK NUMBER: 168626
CHECK DATE: 2/4/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343004 92.86 TRAVEL PER DIEMS
1160 4343005 5.00 CHAMBER LUNCHEON FEES
1160 4355100 21.00 PROMOTIONAL FUNDS
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Receiv Chamber
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER AUTO EAGE
MILES
IV READING
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED '0' P
ER MILE
Al ffGt
ZO
e- 51 2
du7 C��
eA 7V TO
SO
4 `d Ilercc iv ca C711e c01 t (J
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t..- J (3
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 legally due, after allowing all just credits
and that no part of the same has been paid.
d
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.
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
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Allowed 19� m 0 m
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A.E. BOYCE CO., INC. MUNCIE, IN 01136 1Q
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
2/2/09
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 Square Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/27/09 Recei t Parking for statehouse meetin 14.00
12 29 08 Ticket stub Auto show admission; Green Hybrid Vehicle Information $7.00
1/22/09 Receipt "A Taste of Chamber" 1- 22 -09 $5.00
1/30/09 MileageLog Mileage reimbursement $92.86
Total $118.86
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
Darrell Norris IN SUM OF
t
One Civic Sq
Carmel IN 46032
118.86
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100, 4343005,
4343004
Promotional funds, Chamber lunche
fees, Travel per Diem Board Members
EP INVOICE NO. ACCT /TITLE AMOUNT
D I hereby certify that the attached invoice(s), or
RerQlpt 4355100 $14.00 bill(s) is (are) true and correct and that the
TicketStub 4355100 7.00 materials or services itemized thereon for
Receip 4343005 $5.00 which charge is made were ordered and
MileageLog 4343004 $92.86 received except
20
Sig t-� e„
r
Cost distribution ledger classification if
Titl
claim paid motor vehicle highway fund