173858 06/24/2009 ref CITY OF CARMEL, INDIANA VENDOR: 00351315 Page 1 of 1
ONE CIVIC SQUARE WAYNE HANEY
CARMEL, INDIANA 46032 11620 VICTORIA COURT CHECK AMOUNT: $75.00
CARMEL IN 46033 CHECK NUMBER: 173858
CHECK DATE: 612412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 75.00 TRAVEL PER DIEMS
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))
06/22/09 Plan Commission Meeting $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
VOUCHER NO. `.^ARRANT N
ALLOWED 20
Wayne Haney
IN SUM OF
11620 Victoria Court
Carmel, IN 46033
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 430.04 $75.00 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
Monday, June 22, 2009
irector, CS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund