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170539 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 244600 Page 1 of 1 I� ONE CIVIC SQUARE EARLENE PLAVCHAK CHECK AMOUNT: $150.00 CARMEL, INDIANA 46032 11511 ROLLING COURT CARMEL IN 46033 CHECK NUMBER: 170539 CHECK DATE: 4/1/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 150.00 TRAVEL PER DIEMS V i VOUCHER NO. WARRANT N ALLOWED 20 Earlene Plavchak IN SUM OF 11511 Rolling Court Carmle, IN 46033 $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1192 43- 430.04 $150.00 1 hereby certify that the attached invoice(s), or 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 Thursday, March 26, 2009 Directo OCS e 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)) 03/25/09 Meeting Per diem $150.00 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