218859 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 361685 Page 1 of 1
ONE CIVIC SQUARE BRADFORD S GRABOW
,J CARMEL, INDIANA 46032 12530 GLENDURGAN DRIVE CHECK AMOUNT: $450.00
CARMEL IN 46032_ CHECK NUMBER: 218859
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450 . 00 TRAVEL PER DIEMS
1st Quarter Per Diem
Claims
Meeting Dates j Total to Be
1/15/20_13 2/5/2013 -i _2/19/2013 _ 3/6/2013 --3/9/2013 3/19/2013_, 3/27/20_13 Paid
_ _
-j- -' _ ; Committees Workshop Plan I Committees,
Plan Committees Plan � i i
Names
i
Hal Espey- Media Tech
Adams,John W. - _ _ $_ 75.00 $ _ 75.00 : $ 75.00 ; $ 75.00 75.00 ; $ 75.00 $ 525.00
Casati, Michael j-$ - 75.00 $ 75.00 I $ - 75.00 $ 75.00 $ 75.00 ' $ - 75.00 $ 75.00 $ 525.00
- ---------- -- i-
Grabow, Brad, -- _ ( - - �-�-�---,-- _- �-- ------ f
--1 _ I $ 75:00 $1-75.00 �-$- --75:00 $_ 75.00_i$�"- 75.00 $_�1_.=__ _$ 75.00 _$ 450.00 v�
- --------_---__--'-- ----- ---i -------- ---- ! _ __ absent
Kestner, Nick 75.00 I $ 75'00 ( $ 75_00 $ _- -_�$` 75.00 ; $ 75.00 I $ 75.00 ; $ 450.00
absent
4 Kirsh,Joshua ------- - -j-$ ^_75.00 ' $ 75.00 $
$ 75
---- '- ----
_ -_i- _ - --- .00 I $ 75.00 $ 75.00 j $ 75.00 ; $ 450.00
_absent f - --i----- I - �
Lawson, Steve --- -- -� $ --_75.00 , $ -- 75.00 -$_ 75.00 ( $ 75.00 $ 75.00 $ 75.00 j $ 75.00 $ 525.00
Potasnik, Alan--------------- 75.00 � $ 75.00 '-- --75.00 �----75.00 ! i- --I-_--�--�-------
-- $ $ $ 75.00 $ 75.00 $ 75.00 $ 525.00
------ --'--- - I I -
Steve
Stromquist, i i--------; ---_- - --i----;- -
_ -- _- -`-i.$ - 75.00 $ I $ 75.00 $ $ 75.00 1 $ 75.00 I $ -! $ 300.00
n/a I n/a - I I n/a
Westermeier, Susan _ - $ 75,00 $ - j $ 75.00 i $ 75.00 j $ 75.00 $ 75.00 j $ 75.00 $ 450.00
absent- ---- --
Wilfong, Ephraim- 1 $ 75.00 $ 75.00 i $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 j $ 525.00
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 I 11 qtr PC meetings I $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brad Grabow
IN SUM OF $
12530 Glendurgan Drive
Carmel, IN 46032
$450.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1192 43-430.04 $450.00
1 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, April 08, 2013
or
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund