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195848 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 00350524 Page 1 of 1 ONE CIVIC SQUARE KENT BROACH CHECK AMOUNT: $150.00 s4 CARMEL, INDIANA 46032 5023 ST CHARLES PLACE CARMEL IN 46033 CHECK NUMBER: 195848 CHECK DATE: 3/2912011 DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOU DES 1192 4343004 150.00 TRAVEL PER DIEMS Stewart, Lisa M From: Tingley, Connie S Sent: Monday, March 28, 2011 9:21 AM To: Stewart, Lisa M Subject: BZA per diems Here are the BZA per diems for the 1 qtr: Kent Broach $150 �J,an_25,_Mar 28V Leo Dierckman $150 Jan 18, Jan 257 James Hawkins $150 Jan 25, Mar 26 Earlene Plavchak $75 Jan 25 Ephraim Wilfong $225 Jan 4, Jan 25, Feb 28 Connie i VOUCHER NO. WARRANT NO. ALLOWED 20 Kent Broach IN SUM OF 5023 St. Charles Place Carmel, IN 46033 $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1192 43- 430.04 $150.00 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, March 28, 2011 Dir t r 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)) 03/28/11 $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