HomeMy WebLinkAbout319984 12/21/2017 . CITY OF CARMEL, INDIANA VENDOR: 357681
ONE CIVIC SQUARE ALAN POTASNIK CHECK AMOUNT: $*******600.00*
oM.
CARMEL, INDIANA 46032 12482 CHARING CROSS CHECK NUMBER: 319984 CARMEL IN 46033 CHECK DATE: 12/21117
t TpN�•
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 600.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# -357681
ALAN POTASNIK IN SUM OF$ CITY OF CARMEL
12482 CHARI NG CROSS 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 46033
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
Potasnik 43-430.04 $450.00 1 hereby certify that the attached invoice(s),or 12/20/17 Potasnik PC Meetings Oct to Dec 2017 $450.00
1192 101 1192 101
Potasnik 43-430.04 $150.00 bill(s)is(are)true and correct and that the 12/20/17 Potasnik 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
20Cost distribution le _ ;lassification if claim paid motor vehicle highway fund. Clerk-Treasurer
Pg 2
2,017 -
Leo Dierckman James Hawkins Dennis 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 CJ �(�j Q -76 VA D t7 If,,,
Nov 27 '� rj 'l 5 �J CJ 'V) D VI �fl
a
ES o -75 { CD D
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
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
Rotasnik,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