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HomeMy WebLinkAbout300206 07/12/16 CITY OF CARMEL, INDIANA VENDOR: 357681 ONE CIVIC SQUARE ALAN POTASNIK CHECKAMOUNT: $*******150.00 CARMEL, INDIANA 46032 12482 CHARING CROSS CHECK NUMBER: 300206 CARME i IN 46033 CHECK DATE: 07/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 062716 150.00 TRAVEL PER DIEMS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) ALAN POTASNIK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 12482 CHARING CROSS IN SUM OF$ 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. $150.00 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 0 43-430.04 $150.00 1 hereby certify that the attached invoice(s),or 6/30/16 0 2nd quarter BZA per diem $150.00 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 Monday,July 11,2016 f 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer BZA Attendance 2016 Leo Dierckman James Hawkins Dennis Lockwood Earlene Plavchak AlantP,otasmk Alternates Jan 25 75 75 75 75 75 Feb 22 75 75 75 75 75 March 5 75 75 March 17 75 March 28 75 75 75 75 75 Claims 375 300 225 225 225 April 25 May 23 75-- June 5 —June 27 75 75 75 75 Kent Broach 75 Claims 75 75 75 1 0 ® 15 75