204727 12/20/2011 a CITY OF CARMEL, INDIANA VENDOR: 00350524 Page 1 of 1
ONE CIVIC SQUARE KENT BROACH
II CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 5023 ST CHARLES PLACE
'+y -off ca CARMEL IN 46033 CHECK NUMBER: 204727
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 75.00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Friday, Decem ber 09, 2011 10:01 AM
To: Stewart, Lisa M
Subject: BZA claims
BZA Claims for 4 th qtr:
75 Kent Broach Nov 28, 2011 'Y
$225 Alan Potasnik Nov 1, Nov 28, Dec 6, 2 11
$150 James Hawkins Oct 24, Nov 28, 011
75 Earlene Plavchak f Nov 28, 2011✓
75 Ephraim Wilfong Nov 28, 2011
BZA does not have any more scheduled meetings for 2011.
Please let me know if you need any further information.
Connie
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kent Broach
IN SUM OF
5023 St. Charles Place
Carmel, IN 46033
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
1192 43- 430.04 $75.00
I hereby certify that the attached invoice(s), or
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
Monday, Decerjer 2011
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12/09/11 11/28/11 $75.00
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