HomeMy WebLinkAbout326796 06/29/18 CITY OF CARMEL, INDIANA VENDOR: 367626
ONE CIVIC SQUARE DENNIS LOCKWOOD
�/ 'e CHECK AMOUNT: $********75.00*
=a CARMEL, INDIANA 46032 715 HOMEWOOD DRIVE CHECK NUMBER: 326796
gM,�ioN�°. INDIANAPOLIS IN 46280 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 75.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DENNIS LOCKWOOD IN SUM OF$ CITY OF CARMEL
715 HOMEWOOD DRIVE 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.
INDIANAPOLIS, IN 46280
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
Lockwood 43-430.04 $75.00 1 hereby certify that the attached invoice(s), or 6/26/18 Lockwood BZA Meeting 06-25-18 $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
received except
Tuesday, June 26,2018
119; �
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
Meeting Dates- 4/23/2018 5/14/2018 5/15/2018 5/29/2018 6/25/2018
Tota I to
Special Hearing
Executive
April -June BZA Hearing Officer BZA Be Paid
Session
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
dd
Leo Dierckman $ 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
CD_ens Lq_:c:kwjood-(Alternate] - - - - $ 75.00 $ 75.00
TOTAL
$ 1,200.00
Hollibaugh, Mike yes no no no yes
* =paid for PC meeting on same
evening as BZA