180793 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 079250 Page 1 of 1
0 ONE CIVIC SQUARE JAY DORMAN
CARMEL, INDIANA 46032 13506 BELFORD COURT CHECK AMOUNT: $375.00
CARMEL IN 46032 CHECK NUMBER: 180793
CHECK DATE: 12/30/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 375.00 TRAVEL PER DIEMS
Page 1 of 2
Stewart, Lisa M
From: Hancock, Ramona B
Sent: Wednesday, December 16, 2009 9:51 AM
To: Stewart, Lisa M
Subject: PlanCommission Travel Per Diems Final Quarter 2009 A/C #430 -04
Plan Commission Per Diem Claims for Meetings attended Sept 29, Oct., Nov., and Dec., 2009
ESPEY, Hal Video Taping Plan Commission
Oct, Nov, and Dec
3 Mtgs.
Connie may have already submitted for BZA
Video Taping BZA Oct Nov
2 Mtgs
Dierckman, Leo
Oct 15, 20, 27; Nov 17;
4 Mtgs. $75. $300.00
Dorman, Jay
Sept 29; Oct 6, 20, 27; Nov 17, Dec 15
6 Mtg. $75. $450.00
Dutcher, Dan
Sept 29; Oct 6, 15, 20; Dec 15
5 Mtgs. $75. $375.00
Grabow, Brad
Oct 6, 20; Nov 17;
3 Mtgs $75. $225.
Ripma, Rick
Oct 6, 20, 27; Nov 3, 17; Dec 1
6 Mtgs. $75. $450.00
Schleif, Carol
Sept 29; Oct 6, 15; Nov 17; Dec 15
5 Mtgs. $75. $375.00
Stromquist, Steve
Oct 6,15; Nov 17; Dec 15
4 Mtgs. $75 $300.00.
Torres, Madeleine
Oct 6, 20; Dec 1
3 Mtgs $75. $225.00
Westermeier, Susan
Oct 20; Nov 3,17; Dec 1, 15
5 Mtgs. $75. $375.00
Ramona Hancock
12/18/2009
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))
12/18/09 PC Mtgs. 9/29,10/6,10/20,10/27,11/17,12/15 $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 1C 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jay Dorman
IN SUM OF
13506 Belford Court
Carmel, IN 46032
$375.00
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
Mon y, D ember 8, 2009
Director, DOGS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund