218998 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 357681 Page 1 of 1
ONE CIVIC SQUARE ALAN POTASNIK
` CARMEL, INDIANA 46032 12482 CHARING CROSS CHECK AMOUNT: $750.00
CARMEL IN 46033 CHECK NUMBER: 218998
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 750 . 00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Tuesday, March 26, 2013 9:01 AM
To: Stewart, Lisa M
Subject: BZA Claims
BZA Claims for first quarter:
Leo Dierckman $300 Jan 29, Feb 25, Mar 19, Mar 25 t/
James Hawkins $300 Jan 29, Feb 25, Mar 19, Mar 25 V
Earlene Plavchak $225 Jan 29, Mar 19, Mar 25 v
CAI an_P_otasnik—$225�Jan 29—Feb 25, Mar 19— `�
Ephraim Wilfong $300 Jan 29, Feb 25, Mar 19, Mar 25
Nick Kestner $75 Mar 25 Alternate
Hal Espey worked Jan 29, Feb 25 and Mar 25
Thanks,
Connie
1
1st Quarter Per Diem
Claims
Total to Be
Meeting Dates
1/15/2013 2/5/2013 1 2/19/2013 3/6/2013 3/9/2013 3/19/2013 3/27/2013 1 Paid
I Plan Committees Plan Committees Workshop Plan !Committees!
Names
Media Tech $
HalEspey
absent
absent
Kirsh,Joshua 75.00 $ 75-00
absent
75.00 $ 75.00 75.00 75.00 $ 75.00 L/
Lawson, Steve
Westermeier,Susan 75.00 75.00 75.00 $ 75.00 75.00 $ 75.00 $ 450.00
absent
VOUCHER NO. WARRANT NO.
ALLOWED 20
Alan Potasnik
IN SUM OF $
12482 Charing Cross Road
Carmel, IN 46033
$750.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-430.04 $225.00 I hereby certify that the attached invoice(s), or
bills) is (are)true and correct and that the
1192 43-430.04 $525.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, April 08, 2013
D r
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))
03/26/13 1 st grtr BZA mtgs $225.00
04/08/13 1 st grtr PC meetings $525.00
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