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177671 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 361685 Page 1 of 1 ONE CIVIC SQUARE BRADFORD S GRABOW l CARMEL, INDIANA 46032 12530 GLENDURGAN DRIVE CHECK AMOUNT: $450.00 CARMEL IN 46032 CHECK NUMBER: 177671 CHECK DATE: 9/29/2009 DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 450.00 TRAVEL PER DIEMS Page I of 2 Stewart, Lisa M From: Hancock, Ramona B Sent: Thursday, September 24, 2009 3:55 PM To: Stewart, Lisa M Subject: FW: Per Diem Claims for Plan Commission Members Hal Espey Plan Commission Committee Meetings Attended: Dierckman, Leo Jul 07, 13, 21; Aug 4, 18; Sept 15 6 Mtgs $75. Total $450.00 Dorman, Jay Jul 21; Aug 18; Sept 1, 15 4 Mtgs $75. Total $300. Dutcher, Dan Jul 7; Aug 4, 18; Sept 1, 15 5 Mtgs $75. Total $375.00 Grabow- B Jul 7; Sept -1.,— Aug 18; 1 15— .L �6 @_$75 Total $450.00_. Irizarry, Heather M* Sept 1, 15 2 Mtgs 75. Total $150. Ripma, Rick Jul 21; Aug 4, 18; Sept 1, 15 5 Mtgs $75. Total $375. Schleif, Carol Aug 4, 18; Sept 1, 15 4 Mtgs. $75. Total $300.' Stromquist, Steve Jul 7, 21; Sept 15 3 Mtgs $75. Total $225.00 Torres, Madeleine Jul 21; Aug 4; Sept 15 3 Mtgs $75. Total $225.00 Westermeier, Sue Jul 7, 21; Aug 4, 18; Sept 1 5 Mtgs. $75. Total $375.00 9/24/2009 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)) 09/23/09 Bard Per diem for Plan Commission $450.00 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. WARRA NO. ALLOWED 20 Brad Grabow It IN SUM OF 12530 Glendurgan Drive Carmel, IN 46032 $450.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 43- 430.04 $450.00 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, September 28, 2009 Actor, S Title Cost distribution ledger classification if claim paid motor vehicle highway fund