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HomeMy WebLinkAbout208046 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1 ONE CIVIC SQUARE DENEYSE SOLAZZO CHECK AMOUNT: $261.97 CARMEL, INDIANA 46032 14151 PEPw PLACE CARMEL IN 46032 CHECK NUMBER: 208046 <roN c CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 261.97 TRAVEL FEES EXPENSE FEESCA18Ea BY BUTE MAID OF ACCOUM 011am" FORM HO. 101 (ISM MILEAGE CLAIM �Q ir1P t J►�R �0�0.12 ro A' UNM ON ACCOUNT OF APPROPRIATION NO. FOR NXID, DIP OR UUMMOM SPEEDOMETER DATE FROM TO RBADINQ AUTO MDSAGE NATURE OF BUSINESS POINT POINT START FINISH '�VELM PER MILE 12 Fx CC 3 mcc i 'C�► Ntt� 3 i cc C" 3 S "CM MLC- 3 3 to �C T 1v\ C °C M Ix C-i K L v tALL 'TM on -T r-1 R O 50 Cc Z(3 C C 3 2 G t M C c 'M Z 'T tM h 3 Mcc 3 Z3 LL 3 Z b IK tk (r C MCC M 1 21C Z 'TFA fti LC 3 1 z Mt_G Tf"1 \0 (v%. AUTO LICENSE NO. TOTALS J I Z SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. TOTAL= 2 I Pursuant to the provisions and penalties of Chapter 155, Acts 1853, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all lust credits end that no part of the same has been paid. Date n 1 MA R 2 8 2011 BY........................ PIRISCRIM BY SYATr BOARD OF ACCOUNTS GF.KFAAL FORT) IJG 101 TINS] MILEAGE CLAIM TO---- bbr\QA�. SNk6,11 0 i5ovERNmENTAL URM ON ACCOUNT OF APPROPRIATION No. FOR (omcg. BOARD. DEPARTm3mr 5 nistYnniog) SPEEDOMETER DATE FROM TO AUTO MJLEAG� I ----T-- NATURE OF BUSINESS MILES 55. 5 1 I POINT POINT START FINISH TRAVELED PER MILE tA U- Z 2- 14 fAcc 7 1 5 :�Cm Z- MILL T M 2 TM 1 TM V n i Cl 2 Z1 MU 6 IA CL...--- fl oi MLC tj\ t.(- V' -SE— H I -T� MC-L cf- M tA 1AC-( AUTO LICENSE NO. TOTALS i q I SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 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, aiteY a ru ing all lust credits. end that no part of the same has been paid Date J 2012 PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORW 110. 101 (INN MILEAGE CLAIM TO �Q1nP ASQ StIyKL W (GOVERNMENTAL UNITt ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTUEKT OR INSTITUTION) DATE FROM TO I S READNG AUTO M�jIL�jEA,G�jE )-a NATURE OF BUSINESS TRAVELED 5 PONT PONT START FINISH PER MILE l TM VA M C C 1 CC. 1 MCA TP�1 I to tA X4'1 MCC T 1 10 MCL TM 1 LL TtA Mr-C,TM MU 'C M i Clv MCC C 1-I MQ T M t A C TM t Mrr Z 1 2 M I- 14 M CA- M µct, TM I 2tF cL TM I —1 C T mu- LL TVA CC d�t TtA '1. K-L-C SP'1._ 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. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally du fter aliowing all just cre its and that no part of the same has been paid. Date L6QWa9V t MAR 2 8 2012 B Y 0) hah, 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. Terms 364715 Solazzo, Deneyse 14151 Pepin PI Carmel, IN 46032 Invoice Invoice Description Date Number or note attached invoice(s) or bill(s)) PO Amount 3/27/12 Reimb Mileage 1/3 3/27/12 261.97 Total i$ 261.97 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_ Clerk- Treasurer Voucher No. Warrant No. 364715 Solazzo, Deneyse Allowed 20 14151 Pepin PI Carmel, IN 46032 In Sum of 261.97 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -9 Reimb 4343000 261.97 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 5=Apr 2012 Signature 261.97 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund