HomeMy WebLinkAbout164209 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00350721 Page 1 of 1
ONE CIVIC SQUARE LEO DIERCKMAN
CARMEL, INDIANA 46032 13316 KICKAP00 TRAIL CHECK AMOUNT: $600.00
CARMEL IN 46033 CHECK NUMBER: 164209
CHECK DATE: 9/30/2008
DEPARTMENT A CCOUN T PO N INVOICE NUMBER AMOUN DESCRIPTION
1192 4343004 600.00 TRAVEL PER DIEMS
G�
I
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
Leo Dierc! ;man Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
f 375.00
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Leo Dierckman IN SUM OF
13316 Kickapoo Trail
Carmel IN 45033
375.00
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
430 -04 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
September 29,2-008 20
Y
ure
Mi hael Holl gf at
h Director
Cast distribution ledger classification if
rocs 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
I 4
=-e� Z�224 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
91; 3!U Z,Z S 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
y 20 OS�
Sig a re S
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund