227531 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 354740 Page 1 of 1
ONE CIVIC SQUARE SUSAN WESTERMEIER CHECK AMOUNT: $375.00
,? CARMEL, INDIANA 46032 12981 REGENT CIRCLE
oN.�o CARMEL IN 46032 CHECK NUMBER: 227531
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 375 . 00 TRAVEL 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
s j
I
Oct- Dec Comm Silvara Plan Comm Plan Comm Plan Be Paid
Names
15 -- I
Hal Espey- Media Tech no no yes no yes no yes
Adams,John W. $ 75.00 $ 75.00 $ 75.00 $ - $ 75.00 $ 75.00 $ 75.00 $ 450.00 yr
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
I
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 `
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
Susan Westermeier
IN SUM OF $
12981 Regent Circle
Carmel, IN 46032.
$375.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I I 43-430.04 I $375.00 1 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
i"
received except
Friday, December 13, 2013
Directo
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 $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