178117 10/14/2009 y CITY OF CARMEL, INDIANA VENDOR: 00350721 Page 1 of 1
ONE CIVIC SQUARE LEO DIERCKMAN CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 13316 KICKAPOO TRAIL
CARMEL IN 46033 CHECK NUMBER: 178117
CHECK DATE: 10/14/2009
i►
D t�ARTMENT ACCOU PO NUMBER INVOICE NUMB AMOU DESCRIPTION
`ill 4343004 f 150.00 TRAVEL, PER DIEMS
Page 1 of 1
Stewart, Lisa M
From: Tingley, Connie S
Sent: Tuesday, September 29, 2009 11:17 AM
To: Stewart, Lisa M
Subject: BZA claims
BZA attendance for next claims date:
Kent Broach: $300 (7 -1 -09, 7- 27 -09, 8- 24 -09, 9- 28 -09)
L-eo- Dierckmary $1.50_(824-09, 9- 28 -09
James Hawkins: $225 (7- 27 -09, 8- 24 -09, 9 -28 -09)
Earlene Plavchak $150 (8- 24 -09, 9- 28 -09)
Madeleine Torres: $150 (7- 27 -09, 8- 24 -09)
Rick Ripma $150 (7- 27 -09, 9- 28 -09)
Hal Espey attended 3 BZA mtgs: (7- 27 -09, 8 -24 -09, 9- 28 -09)
Connie
9/29/2009
Prescribed by State Board of Accounts City Form Nq.. 201 (Red: 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))
10/08/09 Leo BZA 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
r
VOUGHER NO. WARRANT NO.
ALLOWED 20
Leo Dierckman
IN SUM OF
13316 Kickapoo Trail
Carmel, 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 I 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
ZI Friday, October 09, 2009
rector, DO S
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund