HomeMy WebLinkAbout211949 08/14/2012 a-��•E CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1
ONE CIVIC SQUARE DENEYSE SOLAZZO
CARMEL, INDIANA 46032 14151 PEPIN PLACE CHECK AMOUNT: $312.46
o� CARMEL IN 46032 CHECK NUMBER: 211949
CHECK DATE: 8114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 249 . 76 TRAVEL FEES & EXPENSE
1082 4343000 REIMB 62 . 70 TRAVEL FEES & EXPENSE
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MILEAGE CLAIM
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AUTO LICENSE NO. TOTALS 32 ✓
+ SPEEDOIdM READING columns we 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 1893,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
`'A- _
�2 � (J)SI1 - JUL 2 5 2012 '
i
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.10)(1985)
MILEAGE CLAIM
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE.BOARD.DEPARTMENT OR INSTITUTION)
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+ 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 due,after allowing all just credits
and that no part of the same has been paid.
Date
PLC
JUL 2b 2012
BY: - -
PRESCRIBED BT STATE BOARD Or ACCOUNTS GENrNAL FOAL 110.101 tIN5)
MILEAGE CLAIM
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(GOVERNMENTAL UNITI
ON ACCOUNT OF APPROPRIATION HO. FOR
(OF7CE,BOARD.DEPARTIQNT OR INSTMYrION)
SPEEDOMETER
DATE
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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 due,after allowing all just credits
end that no part of the same has been paid.
Date
�� JUL 25 2012
Pal===W WA72 BOARD OF=00=73 610W"PO®M No.101(Ion
MILEAGE CLAIM
Al gum ON ACCOUNT OF APPROPRIATION NO. FOR
(WFW,00AW ca Buntroum
DATE FROM TO EZDWETER
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AUTO UCUIM NO. TmAyq 11 '1 O
+ SPEEDOMMM READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. L
Pursuant to the provisions and penalties of Chapter 155,Acts 1893,II hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all just credits.-
end that no part of the same has been paid.
Date
I / �� JUL 25 2012
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
7/25/12 Reimb Mileage 3/28 -6/18/12 $ 249.76
7/25/12 Reimb Mileage 6/18 -7/11/12 $ 62.70
Mileage 1/3-3/27/12
Total $ 312.46
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$
$ 312.46
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO, ACCT WTITLE AMOUNT Board Members
Dept#
1081-9 Reimb 4343000 $ 249.76 1 hereby certify that the attached invoice(s), or
1082-1 Reimb 4343000 $ 62.70 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
2012
-I'Jdj'W'0�2zo I/
Signature
$ 312.46 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund