224624 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 357681 Page 1 of 1
ONE CIVIC SQUARE ALAN POTASNIK
CARMEL, INDIANA 46032 12482 CHARING CROSS CHECK AMOUNT: $375.00
CARMEL IN 46033
CHECK NUMBER: 224624
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 375 . 00 TRAVEL PER DIEMS
Quarterly Per Diem Claims
Meeting Dates i t I
7/16/2013 ! 7/22/2013! 8/6/2013 8/6/2013 8/20/2013 i 9/3/2013 9/17/2013 -Total to
I
Executive
July-Sept Plan I BZA , Committee Committees Plan Committee Plan Be Paid
Names ►►
Hal Espey Media Tech yes - -yes no no yes no ; yes
Adams,John W. 75.00 a $ 75.00 $-- - 75.00 $ -- I $ 75.00 '_ i $ 300.00
$
Casati, Michael ,---__.. ----- ; ---_ _.__
$ 75.00 $ 75 00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 450.00
-. - - -
__- -,---- _ __-_ - _.-____ - --- •-- -- -- -- -�--- ----- - , $
Grabow, Brad $ 75.00 $ 75.00 $ 75.00 ! $ 75.00 $ 75.00 ' $ 75.00 450.00
__---_ ______
Kestner, Nick / $ - $ 75.00 I $ 75.00 $ 75.00 $ 75.00 $ 300.00
Kirsh,Joshua $ 75.00.` 75.00
;_$ 75.00 $ 75.00 $ $ 75 00 -- $_ 375.00
Lawson, Steve $ 75.00 ;
- - ---------
$ 75.00 ; $ 75.00 , $ 75.00 : $ 75.00 i $ 375.00
i i I I
Lockwood, Dennis $ 75.00
$ 75.00 ; $ 75.00 j $ 75.00 ; $ 75.00 I $ 375.00
Potasnik,Alan $ 75:00 ! $ 75.00 $ 75 00 $ 75-.00-�$ 7,5.00
=� �-� _._��--� � '�------- I �=------ _375-.PO
Stromquist, Steve $ - $ 75.00 ! $ - $ 75.00 $ - $ 75.00 $ 225.00
- --- --- - --- --- _.- - - - - - -- ----- --
i ;
t
Westermeier, Susan $ 75.00 $ 75.00 I $ 75.00 $ 75.00 $ - i $ 300.00
! f !
Rider, Kevin yes __ - - --_- --- -Yes --- yes yes -yes - -
Hollibaugh, Mike yes i yes yes yes ; yes
Mike- BZA M
eet ! 7/22/2013!
- M ings:- - -
attendance only, Mike not
paid for BZA --
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Alan Potasnik
IN SUM OF $
12482 Charing Cross Road
Carmel, IN 46033
$375.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-430.04 $375.00
I hereby certify that the attached invoice(s), or
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
Monday, September 23, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/20/13 3rd Qrtr Plan Commission per diems $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