HomeMy WebLinkAbout211103 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 364579 Page 1 of 1
ONE CIVIC SQUARE EPHRAIM WILFONG CHECK AMOUNT: $225.00
is�l,.zo CARMEL, INDIANA 46032 10209 BROADWAY STREET
INDIANAPOLIS IN 46280 CHECK NUMBER: 211103
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 225 . 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 2"d quarter 2012:
Kent Broach $150.00 Apr 23,June 25
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,v/
Ephraim Wilfong $225.00 Apr 23, May 29,June 25
Please let me know if you have any questions.
Connie
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ephraim Wilfong
IN SUM OF $
10209 Broadway Street
Indianapolis, IN 46280
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-430.04 $225.00
I hereby certify that the attached invoice(s), or
I I I
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
day, July
Directo
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))
07/12/12 Quarterly BZA 4/23, 5/29,6/25 $225.00
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