HomeMy WebLinkAbout229007 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 367948 Page 1 of 1
ONE CIVIC SQUARE TIM FULLER CHECK AMOUNT: $7,000.00
CARMEL, INDIANA 46032 8235 LAKESHORE TRAIL W DRIVE#2436
INDIANAPOLIS IN 46250 CHECK NUMBER: 229007
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
203 R4350900 25286 13200 2 , 000 . 00 LEGAL FEES
203 R4350900 25286 13201 1, 000 . 00 LEGAL FEES
203 R4350900 25286 13202 1, 000 . 00 LEGAL FEES
203 R4350900 25286 13204 2 , 000 . 00 LEGAL FEES
203 R4350900 25286 13205 1, 000 . 00 LEGAL FEES
it
Client:
City of Carmel, INVOICE NUMBER 13204
Attn: Mr. Mike McBride INVOICE DATE December 13,2013
One Civic Square
Camel, IN 46032
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Appraisal of 10403 Pennsylvania Street $2,000.00
SUBTOTAL 2,000.00
TAX 0.00
FREIGHT
$2,000.00
MAKE ALL CHECKS PAYABLE TO: PAY THIS
Timothy J.Fuller AMOUNT
8235 Lakeshore Tr.W.Drive#2436
Indianapolis, IN 46250
25-215 ks
SEMI
Client:
City of Carmel INVOICE NUMBER 13202
Attn: Mr. Mike Mcbride INVOICE DATE December 3,2013
One Civic Square
Camel, IN 46032
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Appraisal of 301 Mallard Court $1,000.00
SUBTOTAL 1,000.00
TAX 0.00
FREIGHT
$1,000.00
MAKE ALL CHECKS PAYABLE TO: PAY THIS
Timothy J.Fuller AMOUNT
8235 Lakeshore Tr.W.Drive#2436
Indianapolis,IN 46250
Client:
City of Carmel, INVOICE NUMBER 13205
Attn: Mr. Mike McBride INVOICE DATE December 16,2013
One Civic Square
Camel, IN 46032
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Appraisal of 10401 Pennsylvania Street $1,000.00
SUBTOTAL 1,000.00
` TAX 0.00
I FREIGHT
$1,000.00
MAKE ALL CHECKS PAYABLE TO: PAY THIS
Timothy J.Fuller AMOUNT
8235 Lakeshore Tr.W.Drive#2436
Indianapolis, IN 46250
Client:
City of Carmel, INVOICE NUMBER 13201
Attn: Mr. Mike McBride INVOICE DATE December 3,2013
One Civic Square
Camel, IN 46032
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Appraisal of 300 Mallard Court $1,000.00
SUBTOTAL 1,000.00
TAX 0.00
` FREIGHT
$1,000.00
MAKE ALL CHECKS PAYABLE TO: PAYTHIS
Timothy J.Fuller AMOUNT
8235 Lakeshore Tr.W.Drive#2436
Indianapolis,IN 46250
Client:
City of Carmel INVOICE NUMBER 13200
ATTN: Mr. Mike McBride INVOICE DATE December 3,2013
One Civic Square
Camel, IN 46032
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Appraisal of 301 Pintail Court $2,000.00
SUBTOTAL 2,000.00
TAX 0.00
FREIGHT
$2,000.00
MAKE ALL CHECKS PAYABLE TO: PAY THIS
Timothy J.Fuller AMOUNT
8235 Lakeshore Tr.W.Drive#2436
Indianapolis,IN 46250
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
Tim Fuller Purchase Order No.
8235 Lakeshore Tr. W. Drive#2436 Terms
Indianapolis, IN 46250 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
12/13/2013 13204 Appraisal- 10403 Penn $ 2,000.00
12/13/2013 13202 Appraisal-301 Mallard Court $ 1,000.00
12/13/2013 13205 Appraisal - 10401 Penn $ 1,000.00
12/3/2013 13201 Appraisal -300 Mallard Court $ 1,000.00
12/3/2013 13200 Appraisal -301 Pintail Court $ 2,000.00
Total $ 7,000.00
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 NC WARRANT NO.
Tim Fuller ALLOWED 20
8235 Lakeshore Tr. W. Drive#2436 IN SUM OF $
Indianapolis, IN 46250
$ 7,000.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
25286 13204 203-R509 $ 2.000.00 or bill(s) is (are)true and correct and that the
materials or services itemized thereon for
25286 13202 203-R509 $ 1.000.00 which charge is made were ordered and
25286 13205 203-R509 $ 1.000.00 received except
25286 13201 203-R509 s 1.000.00
25286 13200 203-R509 $ 2.000.00
�z& /10/2014
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
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