HomeMy WebLinkAbout210772 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350524 Page 1 of 1
ONE CIVIC SQUARE KENT BROACH
CARMEL, INDIANA 46032 5023 ST CHARLES PLACE CHECK AMOUNT: $150.00
.+� CARMEL IN 46033
CHECK NUMBER: 210772
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150 . 00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Monday, July 09, 2012 9:04 AM
To: Stewart, Lisa M
Subject: BZA claims
Here are the BZA claims for 2nd quarter 2012:
Kent Broach $150.00 Ap=June
James Hawkins $225.00 Apr 23, May 29,June 25
Earlene Plavchak $225.00 Apr 23, May 29,June 25
Alan Potasnik $225.00 Apr 23, May 29,June 25+�
Ephraim Wilfong $225.00 Apr 23, May 29,June 25
Please let me know if you have any questions.
Connie
j t r';
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 invoices)or bill(s))
07/12/12 Quarterly BZA 4/23, 6/25 $150.00
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. WARRANT NO.
ALLOWED 20
Kent Broach
IN SUM OF $
5023 St. Charles Place
Carmel, IN 46033
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
1192 43-430.04 $150.00 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
F 'day, July 13, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund