HomeMy WebLinkAbout220350 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1
` ONE CIVIC SQUARE DENEYSE SOLAZZO
' CARMEL, INDIANA 46032 14151 PEPIN PLACE CHECK AMOUNT: $171.65
CARMEL IN 46032
CHECK NUMBER: 220350
CHECK DATE: 5/2112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 171 . 65 TRAVEL FEES & EXPENSE
rem==By am somm OF It O ma Gomm loam so,la(mall
MILEAGE CLAIM
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+ SPEEDOMIs'1'SA 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 153,Acts 1953,I hereby certify that the foregongg acconat is Just and correct,that the amount claimed is legally due net credits
end that no part of the same has been paid.
Date
i
APR 19 2013
PRESCMDED OT STATE BOARD Or ACCOUNr3 CTRUTAL FORM NO 107 91We
MILEAGE CLAIM
(OOVF")4tNTAL 1Wn ON ACCOUNT OF APPROPRIATION NO. FOR
- (OriICE.DOARD,DL►ARTwx"oR nISTRtrTlON)
SPEEDO"ETER
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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. go-,?g
Pursuant to(Ile provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount c ! y cue,a er atttmtrrg ust credits
end that no part of the same has been paid XAeA
Date V
`� APR 19 2013
ACCOUNTS PAYABLE VOUCHER
CITY OF CARM EL
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
je/gt aached invoice(s)or bill(s)) PO# Amount
4/9/13 Reimb jMij1eagje2j/220 4 /13 $
Total $ /7/.65
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$
$ /'7/. &,5- _
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-9 Reimb 4343000 $ /74 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
16-May 2013
Signature
$ Accounts Payable Coordinator
Cost distribution ledger classification if /7 0 Title
claim paid motor vehicle highway fund