HomeMy WebLinkAbout230248 03/18/14 01".
CITY OF CARMEL, INDIANA VENDOR: 119800ONE CIVIC SQUARE HAMILTON COUNTY AUDITORCHECK AMOUNT: $********15.00*
CARMEL, INDIANA 46032 HAMILTON COUNTY COURTHOUSE CHECK NUMBER: 230248
TRANSFER&MAPPING CHECK DATE: 03/18/14
NOBLESVILLE IN 46060
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 15.00 RECORDING FEES
•,F CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE I' C1c�rf CHECK AMOUNT: S
CARMEL, INDIANA 46032
CHECK NUMBER: 47
CHECK DATE:
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
Viz%
0
.-%-REMITTANCE ADVICE,_-DETACH AND RETAIN,FOR YOU R
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.352
RECEIPT
HAMILTON COUNTY AUDITOR 5217
/FUN D
NOBLESVILLE, IN, ZO _
RECEIVED FROM $ I
THE SUM OF DOLLARS
goo
IN ACCOUNT OF
PAID BY: ❑CASH HECK ❑M.O. U HORIZED SIGNATURE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
ayee
PI (JV
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
:3j IN SUM OF $
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
20
Signatu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund