214354 11/07/2012 CITY OF CARMEL, INDIANA VENDOR. 362732 Page 1 of 1
ONE CIVIC SQUARE PAMELA LISTER
CARMEL, INDIANA 46032 11598 MANSFIELD PLACE CHECK AMOUNT $58.20
CARMEL IN 46032
CHECK NUMBER. 214354
CHECK DATE. 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343004 58 20 TRAVEL PER DIEMS
Claim No Warrant No I have examined the within claim and
hereby certify as follows.
IN FAVOR OF
That it is in proper form,
That it is duly authenticated as requi
by law;
That it is based upon statutory autho:
That it is apparently correct
incorrect
On Account of Appropriation No, -(3q_for
Disbursing Officer
Allowed 20 (D n
in the sum of$ o
0
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