170368 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00350721 Page 1 of 1
0 ONE CIVIC SQUARE LEO DIERCKMAN CHECK AMOUNT: $525.00
CARMEL, INDIANA 46032 13316 KICKAP00 TRAIL.
CARMEL IN 46033 CHECK NUMBER: 170368
CHECK DATE: 4/112009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 031009 525.00 TRAVEL PER DIEMS
i
Prescribed by State Board of Accounts City F N o. 20:1 (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 $225.00
03/27/09 $300.00
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. WARR N
ALLOWED 20
Leo Dierckman
IN SUM OF
13316 Kickapoo Trail
Carmel, IN 46033
$525.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 43- 430.04 $225.00 1 hereby certify that the attached invoice(s), or
1192 43- 430.04 $300.00
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
F iday arch 2J, 2009
Director, DOW
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund