HomeMy WebLinkAbout333675 12/19/18 i°r_t�aM
�/ �• CITY OF CARMEL, INDIANA VENDOR: 357681
I; i� ONE CIVIC SQUARE ALAN POTASNIK CHECK AMOUNT: $*******600.00*
s. _� CARMEL, INDIANA 46032 12482 CHARING CROSS CHECK NUMBER: 333675
9.`y��TON.��' CARMEL IN 46033 CHECK DATE: 12/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 600.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 357681 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ALAN POTASNIK IN SUM OF$ 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 $75.00 1 hereby certify that the attached invoice(s),or 12/18/18 Potasnik 4th Qtr BZA per diems $75.00
1192 101 1192 101
Potasnik 43-430.04 $525.00 bill(s)is(are)true and correct and that the 12/18/18 Potasnik 4th Qtr PC per diems $525.00
1192 101 materials or services itemized thereon for 1192 101
which charge is made were ordered and
received except
Tuesday, December 18,2018
Mike Hollibaugh
Director
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 ~ 10/2/2018 10/9/2018 10/16/2018 10/30/2018 11/8/2018 11/20/2018 12/4/2018 12/18/2018 Totalto
1
Oct- Dec COM HO PC 5th Tuesday COM PC COM PC Be Paid
Names
Adams,John W. $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 525.00
Casati, Michael $ 75.00 $ - $ 75.00 - $ 75.00 - - pd out $ 225.00
Grabow, Brad $ 75.00 $ - $ 75.00 - - $ 75.00 $ 75.00 $ 75.00 $ 375.00
Kegley,Tom $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ - $ 450.00
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 $ 75.00 $ 75.00 $ 450.00
��ta�-WMAlan7 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 525.00
Westermeier,Susan $ 75:00 $ $ 75.00 $ 75.00 $ 75.00 .$ 75.00 $ 75.00 $ 75.00 $ 525.00
Campbell, Laura Yes No Yes No No Yes Yes Yes
Hollibaugh, Mike Yes Yes Yes Yes No Yes Yes Yes
$ 3,525.00
If one of the above members comes to the building for a meeting(5th Tuesdays and Dialogue Dinners also)that counts
Meeting Dates 10/22/2018 10/30/2018 11/26/2018 12/18/2018 No Dec. Total to
Meeting
Oct-Dec BZA Hearing 5th Tuesday BZA BZA Special BZA Be Paid
Officer Only HO Only
Names
lan_Po�asnik' - Paid by PC $ 75.00 - - $ 75.00
James R. Hawkins $, 75.00 - $ 75.00 - - $ 150.00
Leo Dierckman - - $ 75.00 - - $ 75.00
Brad Gra bow - - $ 75.00 - $ 75.00
Kent Broach - - $ 75.00 - - $ 75.00
Dennis Lockwood
TOTAL $ 450.00
Hollibaugh, Mike no yes yes -