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178366 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 354731 Page 1 of 1 ONE CIVIC SQUARE RICK RIPMA I' CHECK AMOUNT: $150.00 CARMEL, INDIANA 46032 4451 HAVEN COURT off �o ZIONSVILLE IN 46077 CHECK NUMBER: 178366 CHECK DATE: 10/14/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 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) 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 $1'50 °(7= 27= 09- 9= 2 &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 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)) 10/09/09 Rick Ripma BZA Per Diem $150.00 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 Rick Ripma IN SUM OF 4451 Haven Court Zionsville, IN 46077 $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 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 Friday, 9ctoberP, 2009 /Z irector, DO Title Cost distribution ledger classification if claim paid motor vehicle highway fund