204935 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 357681 Page 1 of 1
ONE CIVIC SQUARE ALAN POTASNIK
CARMEL, INDIANA 46032 12482 CHARING CROSS CHECK AMOUNT: $525.00
CARMEL IN 46033 CHECK NUMBER: 204935
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 300.00 TRAVEL FEES EXPENSE
1192 4343004 225.00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Friday, December 09, 2011 10:01 AM
To: Stewart, Lisa M
Subject: BZA claims
BZA Claims for 4 th qtr:
75 Kent Broach Nov 28, 2011 'Y
$225 Alan Potasnik Nov 1, Nov 28, Dec 6, 2 11
$150 James Hawkins Oct 24, Nov 28, 011
75 Earlene Plavchak Nov 28, 2011
75 Ephraim Wilfong Nov 28, 2011
BZA does not have any more scheduled meetings for 2011.
Please let me know if you need any further information.
Connie
1
Stewart, Lisa M
From: Hancock, Ramona B
Sent: Thursday, December 08, 2011 4:14 PM
To: Stewart, Lisa M
Subject: FW: 4th Quarter Per Diems Oct, Nov, Dec
Lisa:
Fourth Quarter Per Diems Below
If you have any questions, please let me know
Ramona
Hal Espey, Plan Commission BZA
October, November, December
Plan Commission Members:
Adams, John W.
Oct 04, 18; Nov 01, 15; Dec 06
5 mtgs $75. 375.00
Dorman, Jay
Oct 18
1 mtg $75. 75.00
Grabow, Brad
Oct 04, 18; Nov 01, 15; Dec 06
5 mtgs $75. 375.00
Hagan,Judy
Oct 04,18; Nov 01, 15; Dec 06
5 mtgs $75. 375.00
Kestner, Nick
Oct 04, 18; Nov 15; Dec 06
4 Mtgs $75. 300.00
Lawson, Steve
Oct 04, 18; Nov 01, 15; Dec 06
5 mtgs $75. 375.00
Potasnik, Alan
Oct 18; Nov 01, 15; Dec 06
4 Mtgs 300.00
Stromquist, Steve
Oct 04, 18; Nov 01; Dec 06
i
Prescribed by State Board of Accounts City Form No. 201 (Rev. 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))
12/08/11 10/18,11/01.11/15,12/06 $300.00
12/09/11 11/1, 11/28, 12/06 $225.00
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Alan Potasnik
IN SUM OF
12482 Charing Cross Road
Carmel, IN 46033
$525.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 I I 43- 430.01 I $300.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1192 43- 430.04 $225.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 19, 2011
i
ec
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund