202481 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00350524 Page 1 of 1
ONE CIVIC SQUARE KENT BROACH
CARMEL, INDIANA 46032
5023 ST CHARLES PLACE CHECK AMOUNT: $225.00
CARMEL IN 46033 CHECK NUMBER: 202481
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 225.00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Tuesday, September 27, 2011 10:25 AM
To: Stewart, Lisa M
Subject: BZA Claims
Lisa,
BZA totals for third qtr (July -Sept)
Kent Broach $225 (July, Aug, Sept)
�Ir James Hawkins $225 (July, Aug, Sept)
Earlene Plavchak $225 (July, Aug, Sept)
Alan Potasnik $150 (Aug, Sept)
Ephraim Wilfong $225 (July, Aug, Sept)
Please let me know if you have any questions.
Connie
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/27/11 BZA Meetings, July, Aug. September $225.00
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
Kent Broach
IN SUM OF
5023 St. Charles Place
Carmel, IN 46033
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 43- 430.04 $225.00
I hereby certify that the attached invoice(s), or
I I I
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
Mon y, October 10,,2Q11
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund