219090 04/09/2013 CITY OF CARMEL INDIANA VENDOR: 354740 Page 1 of 1
t; ONE CIVIC SQUARE SUSAN WESTERMEIER CHECK AMOUNT: $450.00
CARMEL, INDIANA 46032 12981 REGENT CIRCLE
CARMEL IN 46032 CHECK NUMBER: 219090
CHECK DATE: 419/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450 . 00 TRAVEL PER DIEMS
lst Quarter Per Diem
Claims
'Totalto Be
Meeting Dates I
1/15/2013 1 2/5/2013 2/19/2013 3/6/2013 3/9/2013 1 3/19/2013 3/27/2013 Paid
----------Plan Committees Plan Committees Workshop Plan lCommittees!
Names
Adams,John W.
75.00 75.00 75.00 75.00 75.00 75.00
75.00 1 525.00
Casati, Michael
absent
Kestner, Nick
absent
absent
Potasnik, Alan 75.00 1 75.00 75.00 75.00 $ 75.00
absent
,Wilfong, Ephraim
VOUCHER NO. WARRANT NO.
ALLOWED 20
Susan Westermeier
IN SUM OF $
12981 Regent Circle
Carmel, IN 46032
$450.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I 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
received except
Monday, April 08, 2013
/C
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))
04/08/13 1 st grtr PC meetings $450.00
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