250144 1 0/07/1 5 Pg 2
2014
Leo Dierckman James Hawkins Dennis Lockwood Earlene Plavchak Alan Potasnik Alternates
July 27 X X X X x
Aug 24 X X X X X 'Kent-Broach-
Sept 28 HO No Meeting No Meeting No Meeting No Meeting
Claims 225 150 150 150 150
Tues, Oct 26
Nov 23
Claims
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kent Broach
IN SUM OF $
5023 St. Charles Place
Carmel, IN 46033
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 43-430.04 $75.00
I hereby certify that the attached invoice(s), or
I
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
I
Monday, October 05, 2015
Ir--\ / o
Dire for
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/06/15 $75.00
I
I 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