HomeMy WebLinkAbout202763 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1
ONE CIVIC SQUARE DENEYSE SOLAZZO
y CARMEL, INDIANA 46032 14151 PEPIN PLACE CHECK AMOUNT: $86.58
CARMEL IN 46032 CHECK NUMBER: 202763
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 86.58 TRAVEL FEES EXPENSE
PPZSCAMED BY STATE 50AX0 Or ACCOIJI173 CERFMAL FOAM 110 301 119U)
MILEAGE CLAIM
IfiOVTAHHENFAL 1}17E11
OW ACCOUNT OF APPHOVIUATION 140. FOR
(Or BOARD. DUART)ONT 02 1W=
0 EEDOMET0
7rom TO AUTO WLE%9C':E
DATE HEADING MILES
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P OINT P CTNT START FINISH NATURE OF BUSINIESS MILES PER MILE
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AUTO LICENSE NO, TOTALS
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SPEEDONMR HEADING columns are to be used only when distance between points cannot he determined by fixed mileage or official highway map. 868 p'!!�>
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
end th no I I same has been paid. Yinwing all )ust credits
Date
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
9130111 Reimb Mileage 819 9126111 86.58
Total 86.58
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
86.58
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITL AMOU -NT Board Members
Dept
1081 -9 Reimb 4343000 86.58 I 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
6 -Oct 2011
T I
Signature
86.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund