170422 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 354772 Page 1 of 1
ONE CIVIC SQUARE JAMES R HAWKINS
CARMEL, INDIANA 46032 12442 HEATERSTONE PLACE CHECK AMOUNT: $225.00
CARMEL IN 46033
CHECK NUMBER: 170422
CHECK DATE: 411/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
1192 4343004 225.00 TRAVEL PER DIEMS
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Prescribed by State Board of Accounts City Form No. 201 (R- 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 $225.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
James R. Hawkins
IN SUM OF
12442 Heatherstone Place
Carmel, IN 46033
$225.00
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
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, Marcr 26, 2009
Director, WS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund