319958 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 367626c:
I,
ONE CIVIC SQUARE DENNIS`COCKWOOp CHECK AMOUNT: $'******600.00*
a' CARMEL, INDIANA 46032 715 HOMEWOOD DRIVE CHECK NUMBER: 319958
vy,TON_co; INDIANAPOLIS IN 46280 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT. DESCRIPTION
1192 4343004 600.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DENNIS LOCKWOOD IN suns of$_ CITY OF CARMEL -
715 HOMEWOOD 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.
INDIANAPOLIS, IN 46280
Payee
$600.00
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
Lockwood 43-430.04 $450.00 1 hereby certify that the attached invoice(s),or 12/20/17 Lockwood PC Meetings Oct to Dec 2017 $450.00
1192 101 1192 101
Lockwood 43-430.04 $150.00 bill(s)is(are)true and correct and that the 12/20/17 Lockwood BZA Meetings Oct 23 and Nov 27,2017 $150.00
1192 101 materials or services itemized thereon for 1192 101
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
, 20
Cost distribution le _ :lassification if claim paid motor vehicle highway fund. Clerk-Treasurer
Pg 2
2017
Leo Dierckman James Hawkins LDennis Lockwood-- Earlene Plavchak Alan Potasnik Alternates
July 24 75 X 75 X X Kent Broach
75
Aug 28 75 75 75 75 75
Sept 25 75 75 X 75 75 Tim Moehl
75
Claims 225 150 150 150 150 Kent 75
Tim 75
Oct 23 5 �j �1L Q � C5 (ll D fel e--,
Nov 27
C) D YL/O i,L-�-
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
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
ri- ckwood,_Dennis_,,� $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 450.007
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