HomeMy WebLinkAbout330484 09/26/18 or.c�gM
CITY OF CARMEL, INDIANA VENDOR: 367626
® ONE CIVIC SQUARE DENNIS LOCKWOOD CHECK AMOUNT: $*******150.00*
s„ iao CARMEL, INDIANA 46032 715 HOMEWOOD DRIVE CHECK NUMBER: 330484
INDIANAPOLIS IN 46280 CHECK DATE: 09/26/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DENNIS LOCKWOOD IN SUM OF$ 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
$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
Lockwood 43-430.04 $150.00 1 hereby certify that the attached invoice(s),or 9/25/18 Lockwood 3rd quarter per diems for BZA Meetings $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, 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 i
Alan Potasnik $ 75.00 $ 75.00 $ 75.00 $ 225.00
James R. Hawkins - $ 75.00 $ 75.00 $ 150.00
Leo Dierckman $ 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