HomeMy WebLinkAbout237353 9 /23/2014 r C.19
CITY OF CARMEL, INDIANA VENDOR: 00351684
® ONE CIVIC SQUARE CLERK OF THE COURTS-ANNUAL FEES CHECK AMOUNT: $.""""`360.00"
f. ?� CARMEL, INDIANA 46032 P O BOX 6069 DEPT 179 CHECK NUMBER: 237353
INDIANAPOLIS IN 46206-6069 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 13200 180.00 ULBRICHT
1180 4355300 13201 180.00 OBERLANDER
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Payment Acknowledgment
Your payment has been initiated.Please print this page twice:one copy for your records and one to turn in with your payment.
Failure to include a copy of this Payment Acknowledgment with your payment may result in your payment not being credited to
your account.A copy of this information has been emailed to you.
Confirmation #: 13200
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Pending Fees (Transaction processed at 11:51:29 AM EDT, 9/22/2014)
Ashley Ulbricht(26930-20) Annual Fee $180.00
Total Due $180.00
Instructions
For payment by check IMPORTANT:Write your confirmation number on the memo line of
Write your confirmation number(see below)on your check,and then Your check.
mail or deliver your check,along with a printed copy of this ;=ra„_ �;•ss,• - k.. s _' s ^{�
Payment Acknowledgment,to: Jom O.wCiia
123 Main uU-set
.; t3_airrhere,Indiana AE24' [late
Clerk of the Courts-Annual Fees 1.91.,6.]J JJJ l
P.O. Box 6069—Dept. 179 Pee°the Ciertc of the Courts—Annual Fees
Indianapolis, IN 46206-6069 °f
raft
Ammar - ---�— ------1:
Your payment will be recorded as of the postmark date on the
envelope containing your full payment.Late fees will be due if full htema: Confirmation#
payment is not timely submitted.
1-0000742581: 88963423,1• 1234w
For payment in cash "•,:x_, ,,, , . •; :mrn „�;,,h;...�: f.,> �:q�a,�.A-v,�, ,:<.-..::.r .
Cash payments may be personally delivered,in exact change only,
with a copy of this Payment Acknowledgment between 8:30 a.m.-
4:30 p.m.on regular business days to the following location:
Clerk of the Courts-Annual Fees
402 W.Washington St., Rm.W062
Indianapolis,IN 46204
Back to Portal Dashboard
https://secure.in.gov/apps/courts/portal/payment/summary 9/22/2014
9/22/2014 Indiana Clerk Of Courts Portal
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Fee Payment Need Help
Payment Acknowledgment
Your payment has been initiated. Please print this page twice:one copy for your records and one to turn in with your payment.
Failure to include a copy of this Payment Acknowledgment with your payment may result in your payment not being credited to
your account.A copy of this information has been emailed to you.
Confirmation #: 13201
Save as PDF
Pending Fees (Transaction processed at 11:56:05 AM EDT, 9/22/2014)
Jon Oberlander(29414-49) Annual Fee $180.00
Total Due $180.00
Instructions
For payment by check IMPORTANT:Write your confirmation number on the memo line of
Write your confirmation number(see below)on your check,and then Your check.
mail or deliver your check,along with a printed copy of thisL �
Payment Acknowledgment, to: Jotn o publlc
P 121htem,Streat 74
' Ersinevinefe 9ndiana;,i620d
Clerk of the Courts-Annual Fees ,'(917)
P.O. Box 6069—Dept. 179
:. Clerkbi the-d6&is'_='Annual Fees-`.
Indianapolis, IN 46206-6069 . w, r or•.''
x,
Your payment will be recorded as of the postmark date on the Amcum . D
envelope containing your full payment.Late fees will be due if full Merrw:'•'ConfirTnation.itr ,
payment is not timely submitted.
Ol1(](]c74125i�1:: :.88963423��� :':1'234,;•
For payment in cash '.t. >t>. -: .ri:: .3,:.,: _: ;F, :�,w,., •n:,::: ;;>:: t , ,
Cash payments may be personally delivered,in exact change only,
with a copy of this Payment Acknowledgment between 8:30 a.m.-
4:30 p.m.on regular business days to the following location:
Clerk of the Courts-Annual Fees
402 W.Washington St., Rm.W062
Indianapolis, IN 46204
Back to Portal Dashboard
https:Hsecure.in.gov/apps/courts/portal/payment/summary 1/2
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.
Payee
Clerk of Courts - Annual Fees
Purchase Order No.
P. O. Box 6069 - Dept 179
Terms
Indianapolis, Indiana 46206-6069 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9122/14 13900— Annual ee - Ashley I 11bricht $18o nn
.9122114 13201 1 Fee - Jon Oberlander $180.00
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same$in ac�cor--
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
-Gem of the G$urt8 IN SUM OF $
PO Box 6069 - Dept. 179
Indianapolis, IN 46206-6069
$ $360.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
4355300 - Organization & Member Dues
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
1180 1320 435-5300 $180.00 or bill(s) is (are) true and correct and that
1180 1320 435-5300 $180.00 the materials or services itemized thereon
for which charge is made were ordered and
received except
lu r -ja 20 I Ll
Si ture
I'1.e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund