HomeMy WebLinkAbout190475 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1
ONE CIVIC SQUARE DENEYSE SOLAZZO
CARMEL, INDIANA 46032 14151 PEPIN PLACE CHECK AMOUNT: $60.31
CARMEL IN 46032
CHECK NUMBER: 190475
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 48.17 OFFICE SUPPLIES
1081 4239039 12.14 GENERAL PROGRAM SUPPL
Cannel o Clay
Parks&Recreatidh
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
I 1 0 I ar (c�5�- �`2 ZC� (A(-e- Sv S u
'r
cm Su P P1 iI
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: lo� �J,
Employee Name (print) V\ 5 Z`Z�•
�Q, e.M SUL !A
sE� zoao
Address 1 J1 AC J2i tI
Check ,t
payable to: City, St, Zip Ckr /A Y&63 Z BY
Signature: Approved by: v`
Date: Date 1�
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\FormslStaff Forms\Employee Exp Reimb Request.
1\
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No.
364715 Solazzo, Deneyse Terms
14151 Pepin PI
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
811110 Reimb Office supplies TM 48.17
8126110 Reimb Program supplies TM 12.14
Mileage 8110 8131110
Total 60.31
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.
364715 Solazzo, Deneyse Allowed 20
14151 Pepin PI
Carmel, IN 46032
In Sum of
60.31
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. 4,CCT #MTLE AMOUNT Board Members
Dept
1081 -9 Reimb 4230200 48.17 1 hereby certify that the attached invoice(s), or
1081 -9 Reimb 4239039 12.14 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
23 -Sep 2010
r
Signature
60.31 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund