178069 10/14/2009 \,f CITY OF CARMEL, INDIANA VENDOR: 00350524 Page 1 of 1
ONE CIVIC SQUARE KENT BROACH
CARMEL, INDIANA 46032 5023 ST CHARLES PLACE CHECK AMOUNT: $300.00
CARMEL IN 46033 CHECK NUMBER: 178069
CHECK DATE: 10/14/2009
.D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 300.00 TRAVEL PER DIEMS
Page 1 of 1
F
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:
cKent= Bro2ch: $300 (7=1 -09, 7-27 -09 —224 -Q9, 9- 28 -09)
Leo Dierckman: $150 (8- 24 -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)
Connie U
9/29/2009
t�
Prescribed by State Board of Accounts City Form'No. 201 (Nev. 1995)
ACCOUNTS PAYABLE VOUCHER i,
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 Kent Broach BZA Per Diem $300.00
1 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
Y
VOUCHER NO, WARRANT NO.
ALLOWED 20
Kent Broach
IN SUM OF
5023 St. Charles Place
Carmel, IN 46033
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 430.04 $300.00 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
Frida October 09, 2009
Direct 0 OCS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund