HomeMy WebLinkAbout319980 12/21/17-VOIDED oll":',
CITY OF CARMEL, INDIANA VENDOR: 244600
ONE CIVIC SQUARE EARLENE PLAVCHAK CHECK AMOUNT: $***"***75.00*
CARMEL, INDIANA 46032 11511 ROLLING COURT CHECK NUMBER: 319980
CARMEL IN 46033 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 75.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 244600 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
EARLENE PLAVCHAK IN SUM OF$ CITY OF CARMEL
11511 ROLLING COURT 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.
CARMEL, IN 46033
Payee
$75.00
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
Plavchak 43-430.04 $75.00 I hereby certify that the attached invoice(s),or 12/20/17 Plavchak BZA Meeting Nov 27,2017 $75.00
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
P
received except
Wednesday, December 20, 2017
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
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Leo Dierckman James Hawkins Dennis Lockwood ;Ear-lene-P-lavchak- Alan Potasnik Alternates
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Aug 28 75 75 75 75 75
Sept 25 . 75 75 X 75 75 Tim Moehl
75
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