252722 12/15/15 �,q* CITY OF CARMEL, INDIANA VENDOR: 368200
® i ONE CIVIC SQUARE TIMOTHY MOEHL CHECK AMOUNT: $*******375.00*
CARMEL, INDIANA 46032 99 E 106TH ST CHECK NUMBER: 252722
�,;,�TON`p.? INDIANAPOLIS IN 46280 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 REIMB 375.00 TRAVEL PER DIEMS
r
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 $ 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
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))
12/10/15 4th qrtr PC per diems $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Timothy Moehl
IN SUM OF $
99 E. 106th Street
Indianapolis, IN 46280
$375.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-430.04 $375.00
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
Friday, December 11, 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund