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190786 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 354772 Page 1 of 1 ONE CIVIC SQUARE JAMES R HAWKINS CHECK AMOUNT: $225.00 CARMEL, INDIANA 46032 12442 HEATERSTONE PLACE CARMEL IN 46033 CHECK NUMBER: 190786 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 225.00 PER DIEM Page 1 of 1 Stewart, Lisa M From: Tingley, Connie S Sent: Thursday, October 07, 2010 1:56 PM To: Stewart, Lisa M Subject: BZA Claims BZA for third quarter Kent Broach $150.00 7- 26 -10, 8 -23 -10 Leo Dierckman $225.00 7- 26 -10, 8-23 -10, 9 -27 -10 games Hawkins $225.00 7- 26 -10, 8- 23 -16, 9 -27 -10 'VEariene Plavchak $225.00 7- 26 -10, 8- 23 -10, 9 -27 -10 Ephraim Wilfong $150.00 8- 23 -10, 9 -27 -10 Thanks, Connie t: i 7 10/7/2010 a VOUCHER NO. WARRANT NO, James R. Hawkins j ALLOWED 20 IN SUM OF i 12442 Heatherstone Place I Carmel, IN 46033 $225.00 ry� I ON ACCOUNT OF APPROPRIATION FOR Carmel D ©CS Department 0 1 PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT I Board Members 1192 43- 430.04 $225.00 1 hereby certify that the attached invoice(s), or f bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and i received except Th rsda Octo r 07, 2010 i Director OCS j Title i Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill(s)) 10/07/10 BZA Mtgs. 7/26,8/23,9/27 $225.00 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 2a Clerk Treasurer