215149 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 357681 Page 1 of 1
ONE CIVIC SQUARE ALAN POTASNIK
CARMEL, INDIANA 46032 12482 CHARING CROSS CHECK AMOUNT: $150.00
CARMEL IN 46033
CHECK NUMBER: 215149
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150 . 00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Tuesday, November 27, 2012 10:41 AM
To: Stewart, Lisa M
Subject: BZA claims
Lisa,
BZA attendance for fourth quarter(no December meeting):
Kent Broach: $75 (Nov 26)
James Hawkins: $150 (Oct 22 & Nov 26)
Earlene Plavchak: $75 (Oct 22)
Alan Potasnik: $150 (Oct 22, Nov 26)
Ephraim Wilfong: $150 (Oct 22, Nov 26)
Thanks,
Connie
1
VOUCHER NO. WARRANT NO.
Alan Potasnk ALLOWED 20
IN SUM OF $
12482 Charing Cross Road
Carmel, IN 46033
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I I 43-430.04 $150.00
I 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, November 30, 2012
Director
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))
11/27/12 BZA Meetings 10/22, 11/26 $150.00
1 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