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227422 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 364721 Page 1 of 1 ONE CIVIC SQUARE STEVE LAWSON CHECK AMOUNT: $450.00 CARMEL, INDIANA 46032 1913 VALLEY DRIVE INDIANAPOLIS IN 46280 CHECK NUMBER: 227422 tiri ro"i� CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 450 . 00 PER DIEMS Quarterly Per Diem Claims Meeting Dates ''° 10/1/2013 10/14/2013 10/15/2013 11/5/2013 11/19/2013 12/3/2013 12/17/2013 Total to Oct- Dec Comm Silvara Plan Comm Plan Comm Plan Be Paid Names Hal Espey- Media Tech no no yes no yes no yes I Adams,John W. $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 450.00 I �I 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 �1 Kestner, Nick $ 75.00 $ - $ - $ - $ 75.00 $ 75.00 $ 75.00 i $ 300.00 i 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 $ 75.00 $ 450.00 ;/ Lockwood, Dennis $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 450.00 Potasnik,Alan $ - $ - $ 75.00 $ - $ - $ 75.00 $ 75.00 $ 225.00 i VJ Stromquist,Steve $ - $ - $ 75.00 $ - $ 75.00 $ - $ 75.00 $ 225.00 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 Steve Lawson IN SUM OF $ 1913 Valley Drive Indianapolis, IN 46280 $450.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 I hereby certify that the attached invoice(s), or I 43-430.04 I $450.00 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, Dece er 13 2013 J 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)) 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