HomeMy WebLinkAbout303939 10/10/16 qui'4Ap''F. . CITY OF CARMEL, INDIANA VENDOR: 365322
i1, CHECK AMOUNT: $*******375.00*
.(� ® ONE CIVIC SQUARE JOHN W ADAMS
:. ?� CARMEL, INDIANA 46032 12638 ROYCE COURT CHECK NUMBER: 303939
s, ,_ CARMEL IN 46033 CHECK DATE: 10/10/16
., t roN�°
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 3RDQTRI6 375.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
JOHN W ADAMS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
12638 ROYCE COURT IN SUM OF$ CITY OF CARMEL
An invoice or bill to be property 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.
$375.00 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
3rd qrtr PC 43-430.04 $375.00 1 hereby certify that the attached invoice(s),or 10/3/16 3rd qrtr PC 3rd Quarter Plan Commission Per Diem $375.00
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
Wednesday, October 05,2016
Mike Hollibaugh
Director
1 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
Meeting Dates 7/19/2016 8/2/2016 8/9/2016 8/2/2016 8/16/2016 8/30/2016 9/6/2016 9/20/2016 Total to
July-Sept PC Comm PC Comm PC Dialogue Comm PC Be Paid
Names Hearing
Officer Dinner
Adams ohohr-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 $ 75.00 $ 525.00
Grabow, Brad $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 525.00
Exec comm
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 $ 75.00 $ 75.00 $ 75.00 $ 525.00
/Kirsh,Joshua $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 525.00
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 $ 75.00 $ 450.00
Potasnik,Alan $ (75.00) $ - $ (75.00) $ (75.00) $ - $ - $ (75.00) $ (300.00)
Westermeier, Susan $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00
$ 450.00
Kimball, Bruce yes yes yes yes yes yes yes yes
Hollibaugh, Mike yes yes yes yes yes yes yes yes $ 3,900.00
7-6-16 No Committee Meeting
*Overpaid by$450 last quarter.
J