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252699 12/15/15 CAA _ CITY OF CARMEL, INDIANA VENDOR: 367626 ONE CIVIC SQUARE DENNIS LOCKWOOD CHECK AMOUNT: $*******600.00* CARMEL, INDIANA 46032 715 HOMEWOOD DRIVE CHECK NUMBER: 252699 INDIANAPOLIS IN 46280 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 600.00 TRAVEL PER DIEMS Meeting Dates Total to Oct- Dec Comm Dialogue Plan Comm Plan Comm Plan Be Paid Names Dinner Hal Espey- Media Tech no no yes no yes no yes Adams,John W. - $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 375.00 Casati, Michael $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 450.00 Grabow, Brad $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 450.00 Kestner, Nick $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 450.00 Kirsh,Joshua $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 375.00 Lockwood, Dennis $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ ' 75.00 $ 450.00 Moehl,Tim Ii $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 375.00 Potasnik, Alan $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 450.00 Stromquist, Steve $ 75.00 $ - $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 300.00 Westermeier, Susan $ 75.00 $ - $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 375.00 Rider, Kevin yes no yes yes yes yes yes $ 4,050.00 Hollibaugh, Mike yes yes yes no yes yes yes 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)) 12/10/15 4th qrtr PC per diems $450.00 12/10/15 bza per diems-4th grtr $150.00 i 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 VOUCHER NO. WARRANT NO. Dennis Lockwood ALLOWED 20 IN SUM OF $ 715 Homewood Drive Indianapolis, IN 46280 $600.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 43-430.04 $450.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1192 43-430.04 $150.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, December 1, 2015 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund