319938 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 3616,85';
(i
d ONE CIVIC SQUARE BRADFORD GRABOW CHECK AMOUNT: $*******375.00*
x CARMEL, INDIANA 46032 12530 GLENDURGAN DRIVE CHECK NUMBER: 319938
9MiroN�o CARMEL IN 45032 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 375.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 361685 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BRADFORD GRABOW IN SUM OF$ CITY OF CARMEL
12530 GLENDURGAN DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service.
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46032
Payee
$375.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
--Board-Members— PT'I —----------—___ ___,_.�_ _
--DEPT#— —INVOICE# -----^Fund-#— -----AMOUNT- - ------T--�----`-- DEPT# FUND# (or note attached invoices)or bill(s)) AMOUNT
Grabow 43-430.04 $375.00 1 hereby certify that the attached invoice(s),or 12/20/17 Grabow PC Meetings Oct to Dec 2017 $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, December 20,2017
Mike Hollibaugh
Director
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
020—
Cost
20Cost distribution h lassification if claim paid motor vehicle highway fund. Clerk-Tres
Per Diems 4th Quarter
Meeting Dates 10/3/2017 10/17/2017 11/9/2017 11/9/2017 11/21/2017 12/5/2017 12/19/2017
Total to
BZA HO&
Comm PC Executive Comm PC Comm-no RES PC
Oct-Dec tonight Be Paid
Names -
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 $ 300.00
i Grabow, Brad $ 75.00 $ 75.00 $ 75.00 $ 75:00 $ 75.00 !$ 375.00
Kegley,Tom $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 300.00
Kestner, Nick $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 450.00
Kirsh,Joshua $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 300.00
Lockwood, Dennis $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 450.00
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 yes yes no yes
Hollibaugh, Mike yes yes yes yes yes yes $3,750.00