186794 06/23/2010 a ��c• CITY OF CARMEL, INDIANA VENDOR: 079250 Page 1 of 1
r ONE CIVIC SQUARE JAY DORMAN
CARMEL, INDIANA 46032 13506 BELFORD COURT CHECK AMOUNT: $375.00
CARMEL IN 46032 CHECK NUMBER: 186794
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 375.00 PER DIEMS
-c
Page l0f2
Stewart, Lisa M
From: Hancock, Ramona B
Sent: Thursday, June 17.2O100:OAAM
To: SXmwed, Line K4
Subject: RW: Plan Commission Travel Per Diem Claims Apr thru June
Subject: Plan Commission Travel Per Diem Claims Apr thmJune
Lisa—Per them for meetings attended second quarter of2O10 –A/C #430-04 Travel Per Diems
EGPEY. Hal Video Taping Plan Commission BZA
April, Mey, June
Dimnzhnnan.Leo
Apr 2O; June 15
2 KAhgn. $75. O150.00.1
Dorman, Jay
Apr 20; May 5, 18; Juno 1, 15
S KAhgo. $75, $375.00
G,mbmw. Brad G.
Apr i. 20; May S. 18� June i�
5 K8hgm, $75. 8375�00
Hagan, Judy
Apr 1, 20; May 18; Juno 15
4 Mtgs. $75 $300.00
Irizarry, Heather
M.
Apr 1, 20; May 5. 18. June 1. 15
8Mhge. @$7S. 450.00. i
Kwmknwr, Nick
Apr 1, 20. May 5 June 15
4Mtou. @$75. $300.
Fdpmm Rick
Apr 1. 20; May 5, 18; June 1. 15
G Mtgs. $75. $460.00
Strmmqoist,Steve
Apr 20; May 5; June 1.15
4 N1hJs. $75. $300.00
Torres, Madeleine
NDMtgs. attendedL/
Wemtenmeier,3ua
Apr 1, 20; May 6, 18; June 1, 15
G yWbJa. $75. $450.00
Thanks, Lisa!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jay Doi�rrian
IN SUM OF
13506 Belford Court
Carmel, IN 46032
$3
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 430.04 $375.00 1 hereby certify that the attached invoice(s), or
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
Monday, June 21, 2010
A irector CS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/17/10 Dorman 4/20,515,5/18,611, 6115 $375.00
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
1 20
Clerk- Treasurer