221520 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 361685 Page 1 of 1
i ONE CIVIC SQUARE BRADFORD S GRABOW
i4, te CARMEL, INDIANA 46032 12530 GLENDURGAN DRIVE CHECK AMOUNT: $375.00
CARMEL IN 46032 CHECK NUMBER: 221520
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 375 . 00 PER DIEM
Quarterly Per Diem Claims
Meeting Dates
4/16/2013 5/7/2013 5/21/2013 5/29/2013 6/4/2013 6/18/2013 6/29/2013 Total to
April_June Plan Committees Plan Exec. Comm
Be Paid
Committees Plan Committee
Names
Hal E-spey-- Media Tech yes
no yes no I no yes
no
Adams,John W-.--,, 75.00 75.00
75.00 75.00 $ 75.00
75.00 450.00
Casati, Michael 75.00
75.00 75.00 $ 75.00
-- 75.00 375.00
V Grabow, Brad 75.00 75.00 75.00 75.00 75.00
375.00
V 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 75.00 75.00 -75.00 -1
75.00 $ 75.00
---75.00 - 450.00
Potasnik, Alan
75.00 75.00 $ 75.00 75.00 75.00
- 75.00 $ 75.00 $ 525.00
Stromquist, Steve 75.00
75.00 75.00
300.00
-W- estermeier, Susan 75.00 75.00 7
5.00 75.00
- - 75.00 1 $ 75.00
450.00
Wilfong, Ephraim 75.00 75.00
75.00 i $ 75.00 $ 75.00
375.00
Rider, Kevin yes
no yes yes
- --------- no yes
Hollibaugh, Mike yes
Yes yes yes yes yes
--------- yes
Mike BZ-AM-e-et-in-gs:
4/22/2013
5/28/2013
6/24/2013!
attendance only, Mike not
paid for BZA
J
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
Brad Grabow
IN SUM OF $
12530 Glendurgan Drive
Carmel, IN 46032
$375.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 43-430.04 $375.00
I 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
Friday, June 28, 2013
Direct
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund