HomeMy WebLinkAbout215178 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1
ONE CIVIC SQUARE DENEYSE SOLAZZO
t' CARMEL, INDIANA 46032 14151 PEPIN PLACE CHECK AMOUNT: $234.21
CARMEL IN 46032 CHECK NUMBER: 215178
CHECK DATE: 12/412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 234 . 21 TRAVEL FEES & EXPENSE
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°pis=ato=STATE BOARD or ACCOUNTS CTNUM,MAW= =p"n
MILEAGE CLAIM
TO DenL S,
-------- cm ACCOUNT nr APPROPRIATION NO.—_____' mm ---
DATE FROM TO --W-EEDOMETER MIUA.GE
HEAD RG + NATURE OF BUSINESS a .575
POINT POINT START FINISH _5
I PER MILE
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lot MCC
AUTO LICENSE NO, TOTALS
+ SPEEDOMETER READING columns are wu"used only when distance between points cannot be!determined b~fixed=uea«"",official highway roan. '
Pursuant*the provisions and penalties"/Chapter Ius'Acts 1ye'z hereby=",'a,that the foregoing account is)=/and correct,
,"u that ""part"/ the same has been n"a
Date
--_
2012 '
n=cmaro[IT STA=BO= °==" GENY."`=wPr lei[:won
MILEAGE CLAIM
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DAT FROM TO PKEDOMETER
READING + AUTO WLEAGE
NATURE OF RUSINESS MILES a
START FINISH
POINT POI THAVELED PER MILE
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o3 Ito
it 254 1
AUTO LICENSE NO. TOTAI.5
+ upouooMornnnsxnINs columns are muo"5ea only when awo"".b"tw"n points cannot b~ u°/mmirlad bnx,"a mileage^,official eyh°=map.
Pursuant.v the pro°/sm".""ape""xie,v/Chapter/ei Acts 1eo'/hereby=°mfy that'he foregoing account is'""`"zirl.correct,that'he amount cuon7%20;,
ov 2012
=a that ="n"n"/the""m° has been paid.n"* __-__________--______.
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MILEAGE CLAIM
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POTHT POINT S7AHT FINISH PER M'Li
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it
AUTO LICFHSE NO, TOTALS
+ arscooMEron nsxowG ""Ju**,are to he used=ul'when aw""= bo,~"°"points cannot he u"t°,mi""a bnfi,"a mileage of official hiyh°"'jD"p.
P"°""=tm*°n^,./"i"v","up°=ui",^/Chapter an.Acts mso'1 hr,"j)vc°,o/v,h°tthe foregoing account La)""/"aa correct, th"'the"=""=/a°mp"a/,legally due,after allowing all p,'",°ax,
°``/ "°part"/ /h" ""=" has b""" paid
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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
11/14/12 Reimb Mileage 9/7- 11/14/12 $ 234.21
Total $ 234.21
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$
$ 234.21
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-9 Reimb 4343000 $ 234.21 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
29-Nov 2012
Signature
$ 234.21 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund