227362 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 361685 Page 1 of 1
ONE CIVIC SQUARE BRADFORD S GRABOW
CARMEL, INDIANA 46032 12530 GLENDURGAN DRIVE CHECK AMOUNT: $450.00
•? CARMEL IN 46032 CHECK NUMBER: 227362
CHECK DATE: `112117120113
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 450 . 00 PER DIEMS
Quarterly Per Diem Claims
Meeting Dates E41 10/1/2013 10/14/2013 10/15/2013 11/5/2013 11/19/2013 12/3/2013 12/17/2013 Total to
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Oct- Dec Comm Silvara Plan Comm Plan Comm Plan Be Paid
Names
7
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Hal Espey- Media Tech no no yes no yes no yes
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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 $ 75.00
$ 450.00
Grabow, Brad $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 450.00
Kestner, Nick $ 75.00 $ - $ - $ - $ 75.00 $ 75.00 $ 75.00 $ 300.00 /
Kirsh,Joshua $ - $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 375.00 i
Lawson,Steve $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 450.00 V
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Lockwood, Dennis $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 450.00
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Potasnik,Alan $ - $ - $ 75.00 $ - $ - $ 75.00 $ 75.00 $ 225.00 L'
Stromquist,Steve $ - $ - $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 225.00
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Westermeier,Susan $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ - $ 375.00
Rider, Kevin yes yes yes yes yes yes
Hollibaugh, Mike yes yes yes no yes yes
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brad Grabow
IN SUM OF $
12530 Glendurgan Drive
Carmel, IN 46032
$450.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
1192 43-430.04 $450.00 I hereby certify that the attached invoice(s), or
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, December 13, 2013
�r
Direc@r
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))
12/12/13 3rd qrtr per diems $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