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208095 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364579 Page 1 of 1 0 ONE CIVIC SQUARE EPHRAIM WILFONG CARMEL, INDIANA 46032 10209 BROADWAY STREET- CHECK AMOUNT: $825.00 1? INDIANAPOLIS IN 46280 CHECK NUMBER: 208095 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 825.00 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 '\i James Hawkins $375 Jan 24, Feb 11, Feb 21, Feb 27, Mar 26 V Earlene Plavchak $225 Jan 24, Feb 21, Feb 27 N 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 Hagan, Judy December 20, 2011 1 mtg $75. 75.00 Kestner, Nick Jan 3, 18; 2/07, 2/11 Workshop, 2/21 Mtg; 3/06, 20 7 Mtgs $75. 525.00 Kirsh, Joshua Jan 18; Feb 11 Workshop, 2/21 meeting; 3/06 4 Mtgs. $75. 300.00 Lawson, Steve December 20, 2011 --j Jan 3,,18, 31 Dialogue Dinner; Feb 07, 11 Workshop, 2/21 mtg. 3/06 20 9 mtgs $75. 675.00 Potasnik, Alan December 20, 2011 Jan 03, 31 Dialogue Dinner; Feb 07, 11 Workshop, 2/21 mtg; 3/06,3/20 8 Mtgs $75. 600.00 Stromquist, Steve December 20, 2011 Jan 03, 18; Feb 07, Feb 21; 3/06,20 7 Mtgs $75. 525.00 Westermeier, Sue December 20, 2011 Jan 03, 18; Feb 11 Workshop, 2121 mtg; 3/20 6 Mtgs. $75. 450.00 Wilfong, Ephraim December 20, 2011 Jan 3, 18; Feb 11 Workshop, 2/21 mtg; 3/20 7 Mtgs $75. 525.00 2 VOUCHER NO. WARRANT NO. ALLOWED 20 Ephraim Wilfong IN SUM OF 10209 Broadway Street Indianapolis, IN 46280 $825.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1192 43- 430.04 $525.00 1 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 e Dire or Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 grtr P/C mtgs. Plus workshop $525.00 04/09/12 1 st Qrtr 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