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213536 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 363779 Page 1 of 1 0 ONE CIVIC SQUARE JOSHUA ALBERT KIRSH CARMEL, INDIANA 46032 2202ND AVE NE CHECK AMOUNT: $225.00 CARMEL IA 46032 CHECK NUMBER: 213536 CHECK DATE: 1019/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 225 . 00 PER DIEMS Stewart, Lisa M From: Hancock, Ramona B 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 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 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 �J 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 1 Stromquist,Steve V 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 t VOUCHER NO. WARRANT NO. ALLOWED 20 Joshua Kirsh IN SUM OF $ 220 2nd Avenue NE Carmel, IN 46032 $225.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 43-430.04 $225.00 I hereby certify that the attached invoice(s), or I 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 Monday, O tober 08, 2012 Direct4 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)) 10/08/12 Plan Commission Meetings $225.00 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