226783 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 244600 Page 1 of 1
1 � ONE CIVIC SQUARE EARLENE PLAVCHAK CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 11511 ROLLING COURT
CARMEL IN 46033 CHECK NUMBER: 226783
CHECK DATE: 121312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150 . 00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Tuesday, November 26, 2013 10:23 AM
To: Stewart, Lisa M
Subject: BZA Claims
BZA Claims for 4`h 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
Earlene Plavchak
IN SUM OF $
11511 Rolling Court
Carmle, IN 46033
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-430.04 $150.00
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
Wednesday, November 27, 2013
Director
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))
11/26/13 BZA Meetings $150.00
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