304070 10/10/16 CITY OF CARMEL, INDIANA VENDOR: 367626
ONE CIVIC SQUARE DENNIS LOCKWOOD CHECK AMOUNT: $*******600.00*
;Q CARMEL, INDIANA 46032 715 HOMEWOOD DRIVE CHECK NUMBER: 304070
INDIANAPOLIS IN 46280 CHECK DATE: 10/10/16
. troN
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 3RDQTR16 600.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
DENNIS LOCKWOOD ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
715 HOMEWOOD DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46280 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$600.00 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 BZA 43-430.04 $225.00 1 hereby certify that the attached invoice(s),or 10/4/16 3rd qrtr PC 3rd Quarter PC Per Diem $375.00
1192 101 1192 101
3rd qrtr PC 43-430.04 $375.00 bill(s)is(are)true and correct and that the 10/4/16 3rd qrtr BZA 3rd Quarter BZA Per Diem $225.00
1192 1 101 1 materials or services itemized thereon for 1192 1 101
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 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,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 $ 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
ekwood, 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.
Pg 2
2016
'41ewbierckinan James Hawkins Wjnfls= oc_ od Earlene Plavchak Alan Potasnik Alternates
x r
July 25 75;'-"' 175 75" 75
Aug22 75 i 5 X75 75
Sept 26 75` 75'' ° T5" 5 75
Claims 225 22'5 �� _ 50 225
Oct 24
Nov 28
Claims