167443 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 354731 Page 1 of 1
ONE CIVIC SQUARE RICK RIPMA CHECK AMOUNT: $675.00
CARMEL, INDIANA 46032 4451 HAVEN COURT
ZIONSVILLE IN 46077 CHECK NUMBER: 167443
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 675.00 TRAVEL PER DIEMS
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
Rick R i pma Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Plan C
8 mt9s $75. 600.00
plus No:v J9 Cam PI-an mtg
75. 75.00
Total $675.00
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
R i c k R i ma IN SUM OF
4451 Haven Court
Zionsville IN 46077
$L75-0
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
$675.00 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
December 19 2008 20
Sign re
Mi S
Cost distribution ledger classification if
Ti e
claim paid motor vehicle highway fund