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226738 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 367626 Page 1 of 1 ONE CIVIC SQUARE DENNIS LOCKWOOD CARMEL, INDIANA 46032 715 HOMEWOOD DRIVE CHECK AMOUNT: $75.00 sR ;e` INDIANAPOLIS IN 46280 CHECK NUMBER: 226738 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 75 . 00 TRAVEL PER DIEMS Stewart, Lisa ilk From: Tingley, Connie S Sent: Tuesday, November 26, 2013 10:23 AM To: Stewart, Lisa M Subject: BZA Claims BZA Claims for 4 I quarter: Leo Dierckman: $75.00 (Nov 5, 2013) James Hawkins: $75.00 (Nov 25, 2013) Earlene Plavchak: $150.00 (Oct 29 & Nov 25, 2013) ^Dennis Lockwood: $75.00(Nov 25, 2013) Kent Broach: $75.00 (Nov 25, 2013) Brad Grabow: $75.00(Nov 25, 2013) Thanks, Connie 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Dennis Lockwood IN SUM OF $ 715 Homewood Drive Indianapolis, IN 46280 $75.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1192 I I 43-430.04 $75.00' bill(s) is (are) true and correct and that the materials or services itemized thereon for i which charge is made were ordered and received except i Wednesday, November 27, 2013 IV Director Title I 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)) 11/26/13 BZA Meeting $75.00 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