221592 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 00351316 Page 1 of 1
ONE CIVIC SQUARE NICK KESTNER
CARMEL, INDIANA 46032 2123 W 106TH ST CHECK AMOUNT: $450.00
CARMEL IN 46032 CHECK NUMBER: 221592
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450 . 00 TRAVEL PER DIEMS
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 1 Committees Plan Exec. Comm Committees Plan I Committee j Be Paid
Names
Hal Espe-- Media Tech yes
no yes no
no
es no
y
0 75.00 75.00
L/Adams,John W. 75.00
---- -- 75.00 450.00
V Casati, Michael 75.00 $
-7- 75.00 $ 75.00 75.00 375.00
75.00
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 - --- -- - - - -
- -
75.00 i $ 75.00 75.00 $
450.00
Potasnik, Alan 75.00 75.00 $ 75.00 75.0' 0 75.00 -$ 75.00 75.00 $ 525.00
Stromquist, Steve 75.00 75.00 75.00 75.00
--------- 300.00
-W-e-ste-r-m-e--i-er--,--Susan 75.00 75.00 $ 75.00
- --- --- -- 75.00 75.00 $ 75.00 450.00
Wilfong, Ephraim 75.00 75.00 75.00 $ 75.00 75.00 375.00
7
Rider, Kevin y yes es I no yes
yes no
es
y
Hollibaugh, Mike yes yes
--yes- yes yes yes i yes
7
Mike - BZA Meetings: 4/22/2013 5/28/2013
6/24/20131
attendance only, Mike not
paid for BZA -------------
As
01-
1 !f
WIS bdollig
r
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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 $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
Nick Kestner
IN SUM OF $
2123 West 106th Street
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
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
Dir for
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund