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207896 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 354772 Page 1 of 1 ONE CIVIC SQUARE JAMES R HAWKINS CARMEL, INDIANA 46032 12442 HEATHERSTONE PLACE CHECK AMOUNT: $375.00 CARMEL IN 46033 CHECK NUMBER: 207896 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 375.00 TRAVEL PER DIEMS Stewart, Lisa M From: Tingley, Connie S Sent: Thursday, April 05, 2012 9:56 AM To: Stewart, Lisa M Subject: BZA claims Lisa, Here are the BZA claims for the first quarter. �J Kent Broach $300 Jan 24, Feb 21, Feb 27, Mar 26 James Hawkins $375 Jan 24, Feb 11, Feb 21, Feb 27, Mar 26 v Earlene Plavchak $225 Jan 24, Feb 21, Feb 27 N Alan Potasnik $300 Jan 24, Feb 21, Feb 27, Mar 26 Ephraim Wilfong $300 Jan 24, Feb 21, Feb 27, Mar 26 Please let me know if you have any questions. Connie VOUCHER NO. WARRANT NO. ALLOWED 20 James R. Hawkins IN SUM OF 12442 Heatherstone Place Carmel, IN 46033 $375.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1192 43- 430.04 I $375.00 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 Monday, April 09, 2012 c Tit Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 04/09/12 BZA Meetings 1 st grtr $375.00 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