HomeMy WebLinkAbout158368 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 079250 Page 1 of 1
ONE CIVIC SQUARE JAY DORMAN
4 zi CHECK AMOUNT: $450.00
CARMEL, INDIANA 46032 13506 BELFORD COURT
%aw CARMEL IN 46032 CHECK NUMBER: 158368
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450.00 TRAVEL PER DIEMS
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
r
Jay Dorman Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Plan Commission Mtgs attended
4 50.00
Total 450.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
J a y IN SUM OF
13506 Belford Court
Carmel IN 46032
450.
ON ACCOUNT OF APPROPRIATION FOR
Travel Per Diems #430 -04
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1192 430—n 450.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
�114� 200$
nature
0C;
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund