HomeMy WebLinkAbout158363 04/15/2008 r
CITY OF CARMEL, INDIANA VENDOR: 00350721 Pa ge 1 of 1
ONE CIVIC SQUARE LEO DIERCKMAN CHECK AMOUNT: $375.00
CARMEL, INDIANA 46032 13316 KICKAPOO TRAIL
CARMEL IN 45033 CHECK NUMBER: 158363
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 375.00 TRAVEL PER DIEMS
`4
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.
.e
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Plan C ott-m-nii s- s- ion Mtgs At tended
5 Mtgs. D $75. 3
Total $375.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Leo Dierckman IN SUM OF
13316 Kickapoo Trail
Carmel IN 46033
375.00
ON ACCOUNT OF APPROPRIATION FOR
Travel_ Per Diems #430 -04
Board Members
POU or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
M q t V 200 87
Si tune
M ichael Hol? ib�iyh airecto D-O
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund