221451 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: T361851 Page 1 of 1
t`I ONE CIVIC SQUARE MICHAEL CASATI
CARMEL, INDIANA 46032 13724 FOSSIL DRIVE CHECK AMOUNT: $375.00
•,o� CARMEL IN 46074 CHECK NUMBER: 221451
CHECK DATE: 712/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 375 . 00 TRAVEL PER DIEMS
Quarterly Per Diem Claims
Meeting Dates =:>I
1; 4/16/2013 5/7/2013 5/21/2013 5/29/2013 6/4/2013 6/29/2013 Total to
6/18/2013
----April -June`
--.I Plan Committees Plan Exec. Comm Committees Plan Committee- !* Be Paid
r.q
Names
Hal-Espey- Media-Tech- yes no yes no no
F_ yes
no
Adams,John W. $ 75.00 75.00 $ 75.00 $ 75.00 $ 75.00 $
75.00 $ 450.00
L/
Casati, Michael 75.00 $
$ 75.00 7500 1 75.00 75.00
$ 375.00
V Grabow, Brad $ 75.00 75-.0 0 $ 75 00
75.00 $ $ 75.00
375.00
Kestner, Nick
$ 75.00 75.00 75.00
$ 75.00
75.00 75.00 450.00
Kirsh,Joshua 75.00 75.00
$ 75.00 $ 75.00 $ 75.00 375.00
Lawson, Steve
75.100 $ 75.00 75.00 $ 75.00 j_$ 75.00 $
75.00 $ 450.00
Potasnik, Alan 75.00 ---7-5-.0.0 $ 75.00 $ 75.00 $ 75.00 $ 75.00 525.00'
V Stromquist,-Steve. $ 75.00 $ 75.00 $ 75.00 $ $ 300.00
_- --- - 75.00 $ 75.00
7-5. 0 75.00 $ 75.00 Wes t I me i e r, S u s a n $ 450.00 75.00
V�Wjlfonj, Ephraim $ 75.00 75.00 $
75.00 75.00 75.00
- $ 375.00
Rider, Kevin Y-es
no yes yes yes no yes
[�o libauTh, Mike yes yes
yes yes yes yes
yes
,cye�
------ --------
Mike- BZA Meetings: 4/22/2013 i --------
1 5/28/2013' 6/24/2013!
attendance only, Mike not ---- --------
paid for BZA 7--
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))
06/28/13 2nd qtr plan meetings $375.00
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
Michael Casati
IN SUM OF $
13724 Fossil Drive
Carmel, IN 46074
$375.00
ON ACCOUNT OF.APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1192 I I 43-430.04 $375.00
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, June 28, 2013
TI
Cost distribution ledger classification if
claim paid motor vehicle highway fund