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252637 12/15/15 �,A,,f• CITY OF CARMEL, INDIANA VENDOR: 361685 ® 1 ONE CIVIC SQUARE BRADFORD S GRABOW CHECK AMOUNT: $*******450.00* a CARMEL, INDIANA 46032 12530 GLENDURGAN DRIVE CHECK NUMBER: 252637 ?M«oN _ CARMEL IN 46032 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 450.00 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 $ 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Brad Grabow IN SUM OF$ 12530 Glendurgan Drive Carmel, IN 46032 I $450.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 43-430.04 $450.00 I 1 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, Decemb r 11, 2015 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 i 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 grtr PC per diems $450.00 6 1 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 I 120— Clerk-Treasurer 20Clerk-Treasurer