213428 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 079250 Page 1 of 1
ONE CIVIC SQUARE JAY DORMAN
CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 13506 BELFORD COURT
CARMEL IN 46032 CHECK NUMBER: 213428
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150 . 00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Hancock, Ramona 6
Sent: Monday, October 08, 2012 9:55 AM
To: Stewart, Lisa M
Subject: FW: 3rd Quarter Per Diems --June 27; July, Aug, Sept 2012
Lisa: Third Quarter Per Diems
Hal Espey, Plan Commission & BZA
July,August,September 2012
Plan Commission Members:
Adams,John W.
6/27; 7/17; 8/7; 9/04, 21
5 mtgs @$75. $375.00
�v Dorman,Jay
July 17; August 21
2 mtgs @ $75. 150.00
Grabow, Brad
6/27; 7/17;8/07, 21; Sept 04, 18
6 mtgs @ $75. 450.00
ti Kestner, Nick
6/27; 7/17; 8/07, 21; 9/04, 18
6 Mtgs @ $75. 450.00
Kirsh, Joshua
6/27; 8/21;9/18
3 mtgs @ $75. 225.00
Lawson,Steve
6/27; 7/17; 8/7, 21; 9/04, 21
6 mtgs @$75. 450.00
Potasnik,Alan
6/27; 7/17; 8/7, 21; 9/04, 21
6 Mtgs @ $75. 450.00
Stromquist, Steve
6/27; 7/17; 8/7, 21; 9/4, 21
6 Mtgs @ $75. 450.00
Westermeier,Sue
7/17; 8/07, 21;
3 Mtgs. @$75. 225.00
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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))
10/08/12 Plan Commission Meetings $150.00
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
Jay Dorman
IN SUM OF $
13506 Belford Court
Carmel, IN 46032
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1192 43-430.04 $150.00
I hereby certify that the attached invoice(s), or
I I
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
Mo day, O o r 08 012
Dire
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund