208361 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 363779 Page 1 of 1
ONE CIVIC SQUARE JOSHUA ALBERT KIRSH
CARMEL, INDIANA 46032 2202ND AVE NE CHECK AMOUNT: $300.00
CARMEL IA 46032 CHECK NUMBER: 208361
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 300.00 PER DIEMS
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�1Workshop,
2 /2rmeet ni g 3/06_
4 Mtgs $75° 300 00"
Lawson, Steve
December 20, 2011
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,
2/21 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
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))
03/23/12 4 first quarter 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 NO.
ALLOWED 20
Joshua Kirsh
IN SUM OF
220 2nd Avenue NE
Carmel, IN 46032
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 I 43- 430.04 I $300.00 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
Friday, April 20, 2012
Direc
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund