221766 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 354740 Page 1 of 1
1 � ONE CIVIC SQUARE SUSAN WESTERMEIER CHECK AMOUNT: $450.00
CARMEL, INDIANA 46032 12981 REGENT CIRCLE
CARMEL IN 46032 CHECK NUMBER: 221766
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450 . 00 TRAVEL PER DIEMS
TIM
Quarterly Per Diem Claims
Meeting Dates
- - -
4/16/2013 2013 6 29 2013 5 21 2013 5 7 5 6/4/2013 6/18/2013 6 29_2013
/ / / / / / / / / / _ __ Total to
April -June Plan Committees Plan Exec. Comm Committees Plan _ m
Comittee
-. .._..
-- - -- -------- Be Paid
Names
Hal Espey- Media Tech es no es no no
--
no es
-$- - 75 00 ----
Adams,John 75.00 $ 75.00 $ 75.00
------ $ 75.00 $ 75.00 -- - -
- -
- - - - 450.00
asati, Michael $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 75.00 375.00
- - $
-- - _ -- - - $ 75.00
Gra ow, Brad $ 75.00 $ 75.00 $ 75.00 75.00 $ - $ 375.00
$ 75.00 '------- ----- -- ---- -- ----- _ __ _
Kestner, Nick $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 450.__
--- - -
------- $-- - -
Kirsh,Joshua 75.00 $ 75.00 $ - $ 75.00 � 75.00 $ 75.00
- -$ 375.00
- __----Lawson, Steve $ 75.00 $ 75.00 75.00 $ 75.00 $ 75.00 $ 450.00
-- _ $ 75.00
Potasnik, Alan 75.00- 75.00
- -- - - - - - -- -- -
$ $ $ 75.00 $ 75.00- $ 75.00 $ 75--.00 ' $ 75.00 $ 525.00
-- - - $ 75.00 $-- - - - $ 75.00 ` $ 75.00 $ --�- - - -
Stromquist, Steve - - $ 75.00 $ - $ 300.00
-- - - - - - -- --- _ =-$- 75.00 ----- - ----
$ 75.00 $ 75.00 $ 75.00 450.00
Westermeier, Susan $ 75.00 $ 75.00 $
Wilfong, Ephraim $ 75.00 $ 75.00 $ 75.00 $ 75.00 ' $ 75.00 , 375.00
- - -
Rider, Kevin yes no - - yes yes -- yes i no - yes --- - --
Hollibaugh, Mike yes yes yes yes yes ! yes yes j
- .- - - -
' I
Mike - BZA Meetings: j 4/22/2013 i- -5/28/2013 6/24/2013;
------- ---- --
attendance only, Mike not
- ---
paid for BZA I 1 ' i 1----------------- i-
---------- -----
f i '
----- - -- ---------
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 $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
Susan Westermeier
IN SUM OF $
12981 Regent Circle
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
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
Directpr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund