HomeMy WebLinkAbout327121 07/10/18 +;,r_c�gM
\� CITY OF CARMEL, INDIANA VENDOR: 365322
.�; ® �,• ONE CIVIC SQUARE JOHN ADAMS
CHECK AMOUNT: $*******450.00*
_� CARMEL, INDIANA 46032 12638 ROYCE COURT CHECK NUMBER: 327121
M��*oN�, CARMEL IN 46033 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 365322 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JOHN ADAMS IN SUM OF$ CITY OF CARMEL
12638 ROYCE COURT 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
$450.00
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
Adams 43-430.04 $450.00 1 hereby certify that the attached invoice(s),or 6/29/18 Adams PC Meetings Apr-June 2018 $450.00
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
Friday,June 29, 2018
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 ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Quarterly Claims-Attendance Spreadsheet
2018
Meeting Dates 4/10/2018 4/17/2018 5/1/2018 5/15/2018 6/5/2018 6/19/2018 6/28/2018 Totalto
COM EXEC COM PC COM PC COM Be Paid
April-June COM/PC
Names 4
Adams,John W $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 450.00
Casati, Michael $ 75.00 $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 75.00 $ 375.00
Grabow, Brad $ - $ 75.00 $ - $ 75.00 $ - $ 75.00 $ - $ 225.00
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 $ 375.00
Kirsh,Joshua $ - $ 75.00 $ - $ 75.00 $ - $ 75.00 $ - $ 225.00
Lockwood, Dennis (pd in full) $ 75.00 $ - $ - $ - $ - $ - $ - $ - $ 75.00
Moehl,Tim (pd in full) $ 75.00 $ - $ - $ - $ - $ - $ - $ - $ 75.00
Potasnik,Alan $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ - $ - $ 75.00 $ 375.00
Westermeier,Susan $ 75.00 $ 75.00 $ - $ 75.00 $ - $ - $ 75.00 $ 300.00
Laura Campbell yes yes yes yes no yes yes
Hollibaugh, Mike yes yes no no no yes no