210592 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 364579 Page 1 of 1
ONE CIVIC SQUARE EPHRAIM WILFONG CHECK AMOUNT: $450.00
CARMEL, INDIANA 46032 10209 BROADWAY STREET
INDIANAPOLIS IN 46280 CHECK NUMBER: 210592
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450.00 TRAVEL PER DIEMS
Westermeier, Sue
April 17, May 01, 15; June 05, 27
5 Mtgs. $75. 375.00
Wilfong, Ephraim
April 17; May 01, 15; June 05, 19, 27
6 Mtgs $75. 450.00
2
VOUCHER NO. WARRANT NO.
Ephraim Wilfong ALLOWED 20
IN SUM OF
10209 Broadway Street
Indianapolis, IN 46280
$450.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 430.04 $450.00
I 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, une 19, 2 2
Director
Title
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))
06/29/12 2nd Qrtr PC Per Diems $450.00
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