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215798 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 354740 Page 1 of 1 4� ONE CIVIC SQUARE SUSAN WESTERMEIER CHECK AMOUNT: $375.00 CARMEL, INDIANA 46032 12981 REGENT CIRCLE '+ s� CARMEL IN 46032 CHECK NUMBER: 215798 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 375 . 00 PER DIEMS Stromquist, Steve 10/02, 16; 11/20; 12/04, 18 Less 6/27 duplicate payment 4 Mtgs @ $75. 300.00 Westermeier,Sue 10/02, 16; 11/07, 20; 12/18 (No duplicate payment for 6/27) y: 5 Mtgs. @ $75. 375.00 Wilfong, Ephraim 10/02, 16; 11/07, 20; 12/18 Less 6/27 duplicate payment 4 Mtgs. @ $75. 300.00 2 I VOUCHER NO. WARRANT NO. ALLOWED 20 Susan Westermeier IN SUM OF $ 12981 Regent Circle Carmel, IN 46032 $375.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 43-430.04 $375.00 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 Fri ay, December 14, 2012 :D' ect r Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 12/14/12 Quarterly PC Meetings $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