208467 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1
ONE CIVIC SQUARE DENEYSE SOLAZZO
CHECK AMOUNT: $197.15
CARMEL, INDIANA 46032 14151 PEPIN PLACE
c� CARMEL IN 46032 CHECK NUMBER: 208467
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 197.15 TRAVEL FEES EXPENSE
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
`f�� �1 coo 0 �r y3 30 00 '�0.v e �1.1'� Lvv�c,
`1 12 WO uh I- ILk 2 o\i5 k%y� 21 evL�ra
y ►2 yel�ovS ClneOW e U:
41112 �ex(kv\
IA I- CA e &C
4 13 1�k�.�srv.�;D� 22.42 Lunc,ti,
h 50'W C-wo'ss $58 bmm-v
DrW lace• uA �I On
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name (print) kyY l .L �VA 1�/ r F
APR 17
Address Ux n 2 2012
Check 1
payable to: City, St, Zip W e:;k�; LU I N took y
Signature: t Approved by:
Date: Date:
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee EYO Reimb Request 2007 -3
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
4/11/12 Reimb NAA conference Dallas, TX 197.15
Mileage 1/3 3/27/12
Total 197.15
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
197.15
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb 4343000 197.15 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
19 -Apr 2012
Signature
197.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund