HomeMy WebLinkAbout326729 06/29/18 %''��p""� CITY OF CARMEL, INDIANA VENDOR: 00350721
`` CHECK AMOUNT: $*******150.00*
., � ONE CIVIC SQUARE LEO DIERCKMAN
s CARMEL, INDIANA 46032 13316 KICKAP00 TRAIL CHECK NUMBER: 326729
9M;-._..�g. CARMEL IN 46033 CHECK DATE: 06/29/18
(TON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00350721
LEO DIERCKMAN IN SUM OF$ CITY OF CARMEL
13316 KICKAPOO TRAIL 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
$150.00
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
Dierckman 43-430.04 $150.00 1 hereby certify that the attached invoice(s),or 6/26/18 Dierckman BZA Meetings Apr-June 2018 $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
Tuesday,June 26,2018
Mike Hollibaugh
Director
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Meeting Dates 4/23/2018 5/14/2018 5/15/2018 5/29/2018 6/25/2018 Total to
Special Hearing
Executive
April -June BZA Hearing Session Officer BZA Be Paid
Officer Only
.:Names
Potasnik,Alan $ 75.00 $ 75.00 * $ 75.00 $ 75.00 $ 300.00
James R. Hawkins $ 75.00 - $ 75.00 - $ 75.00 $ 225.00
LeaDierckman 1$ 75.00 - $ 75.00 - - $ 150.00
Brad Grabow $ 75.00 - * $ 75.00 $ 75.00 $ 225.00
Kent Broach $ 75.00 - $ 75.00 - $ 75.00 $ 225:00
Dennis Lockwood (Alternate) - - - - $ 75.00 $ 75.00
TOTAL $ 1,200.00
Hollibaugh, Mike yes nono no yes
* =paid for PC meeting on same -
evening as BZA