164218 09/30/2008 CITY OF CARMEL INDIANA VENDOR: 00352834 Page 1 of 1
ONE CIVIC SQUARE DAN DUTCHER CHECK AMOUNT: $450,00
y CARMEL, INDIANA 46032 11583 SUTTON PLACE
CARMEL IN 46032
;owt CHECK NUMBER: 164218
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE 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
Dan Dutch Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Ju
and Cinc Field Tr' 4—
450.00
Total $450.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dan Dutcher IN SUM OF
11583 Sutton Place Drive
Carmel IN 46032
_450.00
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 $450.00 .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
September. 29 20a 20
i
I ature
M'
Cost distribution ledger classification if Title ROCS
claim paid motor vehicle highway fund