HomeMy WebLinkAbout167310 12/23/2008 a, CITY OF CARMEL, INDIANA VENDOR: 00350721 Page 1 of 1
�4q er ONE CIVIC SQUARE LEO DIERCKMAN
CARMEL, INDIANA 46032 13316 KICKAP00 TRAIL CHECK AMOUNT: $600.00
CARMEL IN 46033 CHECK NUMBER: 167310
CHECK DATE: 12/2312008
DEPARTMENT ACCOU PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION T
1192 4343004 600.00 TRAVEL PER DIEMS
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
v
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 Gl
ll
Total G�
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM F
O
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
L�
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
20 a
gnat \ec
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
lo Pier(=-kman Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
P lan Commission Comp Plan Mtcfs attended
5 mt s 75. 37
p lus Nov 12 Com Plan mtq 75.00
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Leo Dierckman IN SUM OF
1 Kickap T rail
Carmel IN 45033
4a(1-00
ON ACCOUNT OF APPROPRIATION FOR
Travel Per Diems #430 -04
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1192 430-04 00 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
December 19, 2008 20
ature
M CS
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund