HomeMy WebLinkAbout260085 06/28/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 365322
ONE CIVIC SQUARE JOHN W ADAMS CHECK AMOUNT: $**'****300.00*
CARMEL, INDIANA 46032 12636 ROYCE COURT CHECK NUMBER: 260085
CARMIEL IN 46033 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 MAR-JUN 300.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
JOHN W ADAMS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
12638 ROYCE COURT IN SUM of$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$300.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
Mar-June 43-430.04 $300.00 1 hereby certify that the attached invoice(s),or 6/24/16 Mar-June PC Meetings $300.00
1192 101 1192 101
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,June 24, 2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Meeting Dates Missed 2-2-
16 Meeting
3/29/2016 4/19/2016 5/4/2016 5/17/2016 6/7/2016 6/7/2016 6/21/2016 Total to
SS Only Sub Only
April-June Comm Plan Comm Plan Exec Comm
Comm Plan Comm Be Paid
Names i
Adams,�Jahn W. $ 75.00 $ 75.00 $ 75.00 $ - $ - $ - $ 75.00 $ 300.00
Casati, Michael $ 75.00 $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 75.00 $ 375.00
Grabow, Brad $ - $ 75.00 $ - $ 75.00 $ 75.00 $ - $ 75.00 $ 300.00
Kegley,Tom $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ - $ - $ 75.00 $ 75.00 $ 450.00
Kestner, Nick $ 75.00 $ 75.00 $ - $ 75.00 $ - $ - $ 75.00 $ 300.00
Kirsh,Joshua $ 75.00 $ 75.00 $ - $ 75.00 $ - $i-75-.00-$-75:00 $--375:00 --
Lockwood, Dennis $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ - $ - $ 75.00 $ 375.00
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
Westermeier,Susan $ 75.00 $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 75.00 $ 375.00
Kimball, Bruce yes yes no yes no yes no
Hollibaugh, Mike yes yes yes no yes yes yes
Note: Members that came to both Exec and Sub meetings on 6-7-16 only get paid once.