193075 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00350721 Page 1 of 1
ONE CIVIC SQUARE LEO DIERCKMAN CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 13316 KICKAPOO TRAIL
CARMEL IN 46033 CHECK NUMBER: 193075
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150.00 TRAVEL PER DIEMS
P.
Stewart, Lisa M
From: Hancock, Ramona B
Sent: Wednesday, December 15, 2010 3:14 PM
To: Stewart, Lisa M
Subject: FW: Plan Commission Travel Per Diem Claims Oct thru Dec 2010
Lisa:
Per diem for meetings attended fourth quarter of 2010 A/C #430 -04 Travel Per Diems
ESPEY, Hal Video Taping PIan,Commission BZA
Oct., Nov., Dec
Dierckman, Leo
6Oct 19,,Dec l i
--"'(2 Mtgs. $75. $160
Dorman, Jay
Oct 05 19; Nov 0A 16, Dec 14
5 Mtgs. $75. $375.00
Grabow, Brad S.
Oct 19; Nov 16, 30;
3 Mtgs. $75. $225.00
Hagan, Judy
Oct 19; Nov 16 30
3 Mtgs. $75. $225.00
Irizarry, Heather M.
Oct 19; Nov 30; Dec 14
3 Mtgs. $75. $225.00
Kestner, Nick
Nov 16, 30; Dec 14
3 Mtgs. $75. $225.00
Lawson, Steve
Oct 19; Nov 16, 30
3 Mtgs $75. $225.00
Stromquist, Steve
Oct 05, 19; Nov 16; Dec 14
4 Mtgs. $75. $300.00
Westermeier, Sue
Oct 05, 19; Nov 03, 16; Dec 14
5 Mtgs. $75. $375.00
Wilfong, Ephraim �l
Oct 05, 19; Nov 03, 16; Dec 14
5 Mtgs. $75. $375.00
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, December 20, 2010
66 irectc&OCS
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 invoice(s) or bill(s))
12/15/10 19029, 12114 Meetings $150.00
1 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