215806 12/18/2012 \yf CITY OF CARMEL, INDIANA VENDOR: 364579 Page 1 of 1
�` Q� ONE CIVIC SQUARE EPHRAIM WILFONG CHECK AMOUNT: $300.00
® o CARMEL, INDIANA 46032 10209 BROADWAY STREET
a a� INDIANAPOLIS IN 46280 CHECK NUMBER: 215806
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 300 . 00 PER DIEMS
Stromquist, Steve
10/02, 16; 11/20; 12/04, 18 /'
Less 6/27 duplicate payment ti�
4 Mtgs @ $75. 300.00
Westermeier, Sue
10/02, 16; 11/07, 20; 12/18
(No duplicate payment for 6/27)
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ephraim Wilfong
IN SUM OF $
10209 Broadway Street
Indianapolis, IN 46280
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 I I 43-430.04 I $300.00 1 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, December 14, 2012
Directo
Title
Cost distribution ledger classification if i
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))
12/14/12 Quarterly PC meetings $300.00
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