208010 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 357681 Page 1 of 1
ONE CIVIC SQUARE ALAN POTASNIK CHECK AMOUNT: $900.00
CARMEL, INDIANA 46032 12482 CHARING CROSS
CARMEL IN 46033 CHECK NUMBER: 208010
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 900.00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Thursday, April 05, 2012 9:56 AM
To: Stewart, Lisa M
Subject: BZA claims
Lisa,
Here are the BZA claims for the first quarter.
�J Kent Broach $300 Jan 24, Feb 21, Feb 27, Mar 26
James Hawkins $375 Jan 24, Feb 11, Feb 21, Feb 27, Mar 26
Earlene Plavchak $225 Jan 24, Feb 21, Feb 27
V Alan Potasnik $300 Jan 24, Feb 21, Feb 27, Mar 26
Ephraim Wilfong $300 Jan 24, Feb 21, Feb 27, Mar 26
Please let me know if you have any questions.
Connie
1
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))
04/09/12 1 st grter P/C plus dialog dinner and workshop $600.00
04/09/12 1 st Qrter BZA meetings $300.00
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 N
ALLOWED 20
Alan Potasnik
IN SUM OF
12482 Charing Cross Road
Carmel, IN 46033
$900.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# /Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 430.04 $600.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1192 43- 430.04 $300.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, April 09, 2012
0
a Directoro r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund