221770 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 364579 Page 1 of 1
ONE CIVIC SQUARE EPHRAIM WILFONG
CARMEL, INDIANA 46032 CHECK AMOUNT: $525.00
10209 BROADWAY STREET
o:�o INDIANAPOLIS IN 46280 CHECK NUMBER: 221770
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 525 . 00 TRAVEL PER DIEMS
Stewart, Lisa M
From: Tingley, Connie S
Sent: Tuesday, June 25, 2013 11:12 AM
To: Stewart, Lisa M
Subject: BZA claims
Second quarter BZA claims:
Leo Dierckman $225 (Apr 22, May 28,June 24)
V-'James Hawkins $225 (Apr 22, May 28,June 24)
V/Earlene Plavchak $300 (Apr 22, May 7 Special, May 28,June 24)
Alan Potasnik $225 (Apr 22, May 28,June 24)
Vephraim Wilfong $150 (Apr 22, May 28)
Hal Espey attended the three regular meetings(Apr 22, May 28,June 24).
Please let me know if you need any further information.
Connie Tingley
1
Quarterly Per Diem Claims
Meeting Dates
4/16/2013 5/7/2013 5/21/2013 5/29/2013 6/4/2013
April-June Plan Committees Plan Exec. Comm Committees Plan Committee Be Paid
Names I
yes no
L/Casati, Michael 75.00
V Kestner, Nick 75.00 75.00 $ 75.00
75.00 75.00
Potasnik, Alan 75.00 75.00 $ 75.00 75.00 75.00
V Stromquist, Steve 75.00
75.001 $ 75.00 75.00 300.00
75.00 75.00
Ephraim 75.00 75.00
Rider, Kevin yes
no yes yes
s no yes
Hollibaugh, Mike yes i yes yes
yes yes
Mike- BZA Meetings:
4/22/2013 5/28/2013
attendance only, Mike not
paid for BZA
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 BZA meetings $150.00
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.
Ephraim Wilfong ALLOWED 20
IN SUM OF $
10209 Broadway Street
Indianapolis, IN 46280
$525.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1192 43-430.04 $150.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1192 43-430.04 $375.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, June 28, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund