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HomeMy WebLinkAbout164250 09/30/2008 F CITY OF CARMEL, INDIANA VENDOR: 361685 Page 1 of 1 ONE CIVIC SQUARE BRADFORD S GRABOW CHECK AMOUNT: $375.00 CARMEL, INDIANA 46032 12530 GLENDURGAN DRIVE CARMEL IN 46032 CHECK NUMBER: 164250 CHECK DATE: 9/30/2008 DEPARTM ACCOUNT P O NU MBER I NVOI CE N UMBE R' AMOU D ESCRIP TION 1192 4343004 375.00 TRAVEL PER DIEMS q i A CARMEL PLAN COl®/LMISSION 2008 INFORMATION/FACT SHEET Please complete the form below and return to the Plan Commission Office. NOTE: YOUR SOCIAL SECURITY NUMBER, PLACE OF EMPLOYMENT AND RESIDENCE INFORMATION IS NOT AVAILABLE FOR PUBLIC DISTRIBUTION. APPROPRIATE INFORMATION WILL BE PROVIDED TO FELLOW PLAN COMMISSION MEMBERS, DOCS STAFF, OTHER PUBLIC OFFICIALS, AND THE MEDIA. Name: Bradford S. Grabow (Spouse) Stephanie Mannon Grabow Home Address: 12530 Glendurgan Drive (Clarid Farm) City: Carmel IN ZIP: 46032 Social Security Number: 316 -74 -7714 Business Name: Fifth Third Bank Your current position/title: Commercial Banker (AVP Portfolio Manager III State the nature of your company's business: Bank Business Address: 251 N. Illinois St., Ste. 1000, MD8490AI City: Indianapolis State IN ZIP: 46204 Other than your principal residence, do you own any other property in Clay Township? No If yes, state the location(s) n/a COMMITTEE PREFERENCE: Subdivision Special Study Home Telephone: 818 -9825 Business Telephone: 383 -2353 Cell: 694 -1342 FAX# 383 -2116 E -Mail Bradford. Grabowg5 3.com Mail Sent to: Home Business z: \forms \pc Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Brad Grabow Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Plan Commission Comp Plan Mt s Attended 5 Mtgs. C $75. $375.00 Total $375.00 1 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 �-3rad Grabow IN SUM OF 1 2530 Glendurgan Drive Carmel IN 46032 375.00 ON ACCOUNT OF APPROPRIATION FOR Travel Per Diems #430 -04 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1192 430-04 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 September 29, 2008 20 Sig at re Director Cost distribution ledger classification if Title DOCS claim paid motor vehicle highway fund