HomeMy WebLinkAbout330455 09/26/18 �� �,q,�� CITY OF CARMEL, INDIANA VENDOR: 00350721
o;
°,• ONE CIVIC SQUARE LEO DIERCKMAN CHECK AMOUNT: $*****"*300.00*
s �'a CARMEL, INDIANA 46032 13316 KICKAPOO TRAIL CHECK NUMBER: 330455
9�.__,fir' CARMEL IN 46033 CHECK DATE: 09/26/18
ITON��
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 300.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00350721 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
LEO DIERCKMAN IN SUM OF$ 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
$300.00
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 $300.00 1 hereby certify that the attached invoice(s),or 9/25/18 Dierckman 3rd quarter per diems for BZA Meetings $300.00
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, September 25,2018
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 7/23/2018 8/7/2018 8/27/2018 9/24/2018 Total to
Special
July-Sept BZA Hearing BZA BZA Be Paid
Officer
Names
Alan Potasnik $ 75.00 $ 75.00 $ 75.00 $ 225.00
James R. Hawkins - $ 75.00 $ 75.00 $ 150.00
rckrnan $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 300.00
Brad Grabow $ 75.00 $ 75.00 $ 75.00 $ 225.00
Kent Broach $ 75.00 $ 75.00 $ 75.00 $ 225.00
Dennis Lockwood $ 75.00 - $ 75.00 $ 150.00
TOTAL $ 1,125.00
Hollibaugh, Mike yes no yes yes