HomeMy WebLinkAbout302994 09/12/16 4+4t..G4A,yR
CITY OF CARMEL, INDIANA VENDOR: 370872
ONE CIVIC SQUARE BEN POLIZZI CHECK AMOUNT: $"""'"1,830.00'
,. CARMEL, INDIANA 46032 901 WAVELAND LANE CHECK NUMBER: 302994
GREENWOOD IN 46143 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340400 090916 1,830.00 CONSULTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
BEN POLIZZI ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
901 WAVELAND LANE IN SUM OF$ 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.
$1,830.00 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
090916 43-404.00 $1,830.00 1 hereby certify that the attached invoice(s),or 9/9/16 090916 $1,830.00
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
Friday, September 09,2016
Linda Harvey
Chief Deputy Clerk Treasurer
I 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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Benedict Polizzi
Office of the Clerk-Treasurer-2016
Appropriation#; P.O.#
Contract Not To Exceed$12,500
Invoice
Date:
Name of Company: QFT%ce o'P }VIA C-I0-c K-Z"rezpsvrer C arme-1 I N
Address &Zip: Qre Ctv t L Sq u aye � 3�'d F 1. � C-ar ne.% ,JA f '-1(0 O 7,Z
Telephone No.: --
Fax
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
't2.0.00/ ZZt�:cc�
f�oc�
ZrJ lfour5 ����J
Wee
GRAND TOTAL
Signature
—Ren �011ZZ t
Printed Name
10
Benedict Polizzi
Office of the Clerk-Treasurer-2016
Appropriation#; P.O.#
Contract Not To Exceed$12,500
Exhibit A
Scope of Services
• , . . - Benedi�t'Polizzi -
Assist the City of Carmel's Office of the Clerk-Treasurer on organized document retention and public records access.
Other related tasks may be requested from time to time. .
Consultation will also be provided on various aspects of City fiscal operations and policy.
Fee for Services:
Services rendered shall be billed at a rate of Nine Dollars and fifty cents ($9.50) per hour.
EXHIBIT B
9
NAME : Zen
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week I -\ /CD / I(o 'r-7I /-7/ 1(0 C(/Sit((
Time In CA"Uo 2w% 9 , p0-.VM R-00a"^
Time Out 3-00 jFM 9'00o''" 15.oc®q"%
Daily Hours (0-9 (R)
Approved By
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 2
Time In
Time Out
Daily Hours
Approved By
*Round to the nearest 15 minutes. Ex: if you arrive at 3:49 you may put 3:45, if you arrive at 3:55 you must put 4:00
*Total time will be calculated on quarter hour basis. le; 1.75 hours or 2.25 hours
NAME :
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 1 g AL0i /30 q /1 9 /7-
9a -3P $=30 - 3
p
Daily Hours
Comp Used
PTO Used
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 2
Daily-Hours —
Comp Used
PTO'Used
`Total time will be calculated by rounding to the nearest quarter hour basis. le; 8.75 hours
�d�r�SS
q0j (/1fz�1relc� Vin.
�'Areenwood, z N(01ti3
NAME : �e rN e)o!'izz
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 1 ji5 8 �11 Ole) 8 /ICI
gz�r►n- 3�WP --
Daily Hours �- (b C9 k
Comp Used
PTO Used
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Weel< 2 ��i� g/z1--1 hf
®wily Hours _ q�.w� n^ 3pw' $-3oa- 7Pr►^
Cs7 � -�--� =S_2
Comp Used
PTO'Used
*Total time will be calculated by rounding to the clearest quarter hour basis. le; 8.75 hours
Ad6Irt SS
el0 I IN','Ye l�r�1
(',1v-eenwcjod, sX*Q N01-05