215558 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365322 Page 1 of 1
` ONE CIVIC SQUARE JOHN W ADAMS
4 CHECK AMOUNT: $450.00
CARMEL, INDIANA 46032 12638 ROYCE COURT
CARMEL IN 46033 CHECK NUMBER: 215558
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450 . 00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Hancock, Ramona B
Sent: Monday, December 03, 2012 4:00 PM
To: Stewart, Lisa M
Subject: FW: 4th Quarter Per Diems-- Oct, Nov, Dec 2012
Lisa: Fourth Quarter Per Diems as I know them now-- December attendance may be adjusted later.
Hal Espey, Plan Commission & BZA
Oct, Nov, Dec
Plan Commission Members:
Adams,John W.
10/02, 10/16, 30; 11/07, 20;
12/04, 18
Less 6/27 duplicate payment
6 mtgs @ $75. $450.00
Dorman,Jay
10/16, 30; 11/20; 12/18
(No duplicate payment for 6/27)
4 mtgs @ $75. 300.00
Grabow, Brad
10/02, 16; 11/07, 20; 12/18
Less 6/27 duplicate payment
4 mtgs @ $75. 300.00
Kestner, Nick
10/02, 16, 30; 11/07, 20;
Less 6/27 duplicate payment
4 Mtgs @$75. 300.00
Kirsh,Joshua
10/02, 16; 11/07, 20; 12/18
Less 6/27 duplicate payment �l
4 mtgs @ $75. 300.00
Lawson, Steve
10/16, 30; 11/07; 12/04, 18
Less 6/27 duplicate payment
4 mtgs @ $75. 300.00
Potasnik, Alan
10/02, 16; 11/07, 20; 12/04, 18
Less 6/27 duplicate payment at/
5 Mtgs @ $75. 375.00
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
John Adams
IN SUM OF $
12638 Royce Court
Carmel, IN 46033
$450.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1192 43-430.04 $450.00
I hereby certify that the attached invoice(s), or
I
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
J received except
Friday, December 14, 2012
Direct
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))
12/14/12 Quarterly PC mtgS. $450.00
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