192419 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00350721 Page 1 of. 1
ONE CIVIC SQUARE LEO DIERCKMAN CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 13316 KICKAP00 TRAIL
CARMEL IN 46033 CHECK NUMBER: 192419
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150.00 TRAVEL PER DIEMS
Page 1 of 1
Stewart, Lisa M
From: Tingley, Connie S
Sent: Tuesday, November 30, 2010 3:20 PM
To: Stewart, Lisa M
Subject: BZA
Claims 12/6/10
Attendance for BZA members:
Kent Broach $75 Oct 25, 2010 Executive Session
Leo Dierckman $150 Oct 25 Nov 22, 2010 Exec Session Hearing Officer
James Hawkins $75 Oct 25, 2010 Exec Session
Earlene Plavchak $75 Oct 25, 2010 Exec Session
Ephraim Wilfong $75 Oct 25, 2010 Exec Session
Thanks,
Connie Tingley
BZA Secretary
11/30/2010
VOUCHER NO. WARRANT NO.
ALLOWED 20
Leo Dierckman
IN SUM OF
13316 Kickapoo Trail
Carmel, IN 46033
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1192 43- 430.04 $150.00 1 hereby certify that the attached invoice(s), or
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
Monday, D cember 06, 2010
director, Ddos
Title
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))
12/03/10 10125,11/22 BZA $150.00
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
20
Clerk- Treasurer
I