HomeMy WebLinkAbout304104 10/10/16 y CITY OF CARMEL, INDIANA VENDOR: 244600
CHECK AMOUNT: $*******150.00*
.�; ONE CIVIC SQUARE EARLENE PLAVCHAK
CARMEL, INDIANA 46032 17511 ROLLING COURT CHECK NUMBER: 304104
CARMEL IN 46033 CHECK DATE: 10/10/16
ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 3RDQTR16 150.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
EARLENE PLAVCHAK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
11511 ROLLING COURT IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$150.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
3rd grtr BZA 43-430.04 $150.00 I hereby certify that the attached invoice(s),or 10/3/16 3rd qrtr BZA 3rd Quarter BZA Per Diem $150.00
1192 101 1192 101
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
Wednesday,October 05,2016
Mike Hollibaugh
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Pg 2
2016
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#V& Alan Potasnik Alternates
July 25 '75 V 1— 5TE,� Q7,75 75 75
Aug 22 75 X75 75 75
Sept 26 75
Claims tZS` 225
Oct 24
Nov 28
Claims