HomeMy WebLinkAbout200114 08/03/2011 a CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1
ONE CIVIC SQUARE DENEYSE SOLAZZO
CHECK AMOUNT: $46.92
CARMEL, INDIANA 46032 14151 PEPIN PLACE
CARMEL IN 46032 CHECK NUMBER: 200114
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 REIMB 46.92 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS V I GENERAL FOAM 11G. 1�1 114661
MILEAGE CLAIM
TO
(GOVEANMENTAL nNill
ON ACCOUNT OF APPROPRIATION NO. FOR
IOFeIC£, BOARD, VEP&RTME]R OR INOTTLITIONI
SPEEDOMETER
DATE FROM TO I READINGS f AUTO 1.4I1.EAGE
2P iIi FINISH OF BUSINESS MILES a
POINT POINT STRft7 FINIS
PER MILE
.J LL TSAq 1� Y fit) �Ctn0b5
"LL
5 LC T" k(1 L1n� �o
1 Mt- L c ky a ur i1.
lA r_ L C "r
a al 4'l. TO
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Y
I
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" 1
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits
and that no part of the same has been paid.
Date 0 1
1
3q 14 )nil
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be property itemized must show; kind of service, where performed, dates service rendered, by
who rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
364715 Solazzo, Deneyse
14151 Pepin PI
Carmel, IN 46032
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
45.92
6117111 Reimb Mileage 5126 6117111
Total 46.92
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
46.92
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1082 -1 Reimb 4343000 46.92 1 hereby certify that the attached invoice(s), or
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
i
28 -Jun 26 -Jul
fi&h uUI
Signature
46.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund