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HomeMy WebLinkAbout304062 10/10/16 ti�u!..kQayf CITY OF CARMEL, INDIANA VENDOR: 363779 CHECK AMOUNT: $*******525.00* ONE CIVIC SQUARE JOSHUA ALBERT KIRSH CARMEL, INDIANA 46032 220 2ND AVE NE CHECK NUMBER: 304062 CARMEL IA 46032 CHECK DATE: 10/10/16 ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 3RDQTR16 525.00 TRAVEL PER DIEMS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) JOSHUA ALBERT KIRSH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 220 2ND AVE NE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IA 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $525.00 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 $525.00 1 hereby certify that the attached invoice(s),or 10/4/16 3rd qrtr PC 3rd Quarter PC Per Diem $525.00 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 I hereby certify that the attached invoice(s),or bifl(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 cc=�- 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 e 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 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 r 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.