HomeMy WebLinkAbout302241 08/22/16 f Cqq'-
���% CITY OF CARMEL, INDIANA VENDOR: 370872
j ONE CIVIC SQUARE BEN POLIZZI CHECK AMOUNT: $ ""2,450.00"
CARMEL, INDIANA 46032 901 WAVELAND LANE CHECK NUMBER: 302241
y�TON E° GREENWOOD IN 46143 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340400 082216 2,450.00 CONSULTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
BEN POLIZZI ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
901 WAVELAND LANE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
GREENWOOD, IN 46143 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$2,450.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Clerk Treasurer Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
082216 43-404.00 $2,450.00 1 hereby certify that the attached invoice(s),or 8/22/16 082216 $2,450.00
1701 101 1701 101
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,August 22,2016
I hereby certify that the attached invoice(s),or ills ,+is(are)true and cQectd Ihave
audi ed same in accordance with IC 5-11-10- .6
Uo
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Cler reasurer
EXHIBIT B
Invoice
Date:
Name of Company.
Address &Zip: 90t U-,)jrne C-,,reenV.JQC),A., J-N
TelephoneNo.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Sex-vices Provided Cost Per Hourly Total
Goods/Services Goods[ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
YJ $1,040
4-
r.
GRAND TOTAL w
Signature
Printed Name
NAME : i en
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 1 7 II l /1(0 7fjz f 1(o 71131)(0 -71mll(o
Daily Hours g.pm Z 11 ft •530 sarri®3pr" loam-4rw� 28.5
Comp Used
PTO Used
Sat Sura Mon Tue Wed Thu Fri Week Total
Payroll Week 2 -7119/1(0 7f/4/)W -7/7-0' /1(0 7121110 7/zz/1to
Daily Hours $ -3p `lam-2:30m ,
T'
Comp Used
PTO Used
*Total time will be calculated by rounding to the nearest quarter hour basis. le; 8.75 hours
Ac\ckr cSS
,IOZ Wavclatnd 1_zNC
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Clreex)wood, IN t LO ILLI S
�I
NAME
Sat Sun Mon Tue Wed Thu Fru Week Total
Payroll Week 1 -7/S5
Daily Hours �a�+n " � � g:60am-�9 ,
Comp Used
PTO Used
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 2 t�j� �I Z 8/S SAS S/S
®ally H09,BrS zcyt
Comp Used
PTO Used
*Total time will be calculated by rounding to the nearest quarter hour basis. le; 8.75 hours ,
Tu WaWe-u0xncv i—r\
C-tre�.�►•w'��d; � 4.19-x`1,3 ��&d'�/G
NAME :
Sat Sura Mon Tue Wed Thu Fri Week Total
Payroll Week Z � B/lo 8 /11 S /i 2
q� 4a 3�3op gram-3:00v -3
gam :00
Daily Hours
Comp Used
PTO Used
Sat __----Sun,iMon—=-s ue—--- d==— -�'hu- Fri -v_!!heels Total
Payroll Week 2
---
Daily-Hours
(s
Comp Used ro
PTO Used
*Total time will be calculated by rounding to the nearest quaver hour basis. le; 8.75 hours
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