226813 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 364715 Page 1 of 1
ONE CIVIC SQUARE DENEYSE SOLAZZO CHECK AMOUNT: $61.36
CARMEL, INDIANA 46032 14151 PEPIN PLACE
'tiy1aN�o. CARMEL IN 46032 CHECK NUMBER: 226813
CHECK DATE: 12/312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 61 . 36 TRAVEL FEES & EXPENSE
NOV 14 2013
nZWRU=BY BUTZ MAID o►=000 TS LBY:
_
P W)10.103(ISM
MILEAGE CLAIM �Q`'1�u1S� SO�U�1v
TO
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ON ACCOUNT OF APPROPRIATION NO. FOR
(or=,som mmum as marnmom
DATE FROM TO SPEEDOMETER
READING AUTO MILEAGE
POINT POINT START FINISH MATURE OF BUSINESS TAAVELBD ®'= -
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PER MILE
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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 a .
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 leg us,after owin t credits
end that no part of t(h(e am e has been paid.
Date
pe-
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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
11/6/13 Reimb Mileage 10/10- 11/6/13 $ 61.36
Total $ 61.36
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$
$ 61.36
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-9 Relmb 4343000 $ 61.36 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
27-Nov 2013
Signature
$ 61.36 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund