164265 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00351315 Page 1 of 1
ONE CIVIC SQUARE WAYNE HANEY
CARMEL, INDIANA 46032 11620 VICTORIA COURT CHECK AMOUNT: $450.00
CARMEL iN 46033
CHECK NUMBER: 164265
CHECK DATE: 9/30/2008
DEPARTMENT ACCOU PO NUMBER IN VOICE NUMBER AMO UNT DESC
1192 4343004 450.00 TRAVEL PER DIEMS
1
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
Wayne Haney Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Plan Commission Comp Plan Mt�4s attended
July 1 15• Au 9• S
6 Mt s $75. $450.00
Total 4
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
Wayne Haney IN SUM OF
11620 Victoria Court
Carmel IN 46033
$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 4 3 0- 4 1450.00 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 2 2008 20
X
V IV nure
Cost distribution ledger classification if
Title ROCS
claim paid motor vehicle highway fund