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Q � ONE CIVIC SQUARE HAMILTON COUNTY RECORDER CHECK AMOUNT: $195.00
CARMEL,INDIANA 46032
CHECK NUMBER: 237221
CHECK DATE: 9/19/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 195 . 00
Hamilton County Recorder
Mary L. Clark
09/19/2014 08:21:28A Trans #: 000587404
Business Date: 09/19/2014 Rec By: SAG
2014041754 ENCROACHME 06:21:27A
Subtotal: $27.00
2014041755 ENCROACHME 08:21:27A
Subtotal: $27.00
2014041756 ENCROACHME 08:21:27A
Subtotal: $27.00
2014041757 ENCROACHME 03:21:27A
Subtotal: $27.00
2014041758 ENCROACHME 08:21:27A
Subtotal: $29.00
2014041759 ENCROACHME 08:21:27A
Subtotal: $29.00
2014041760 ENCROACHME 08:21:27A
Subtotal: $29.00
Receipt Total: $195.00
Paid By Amount Ret #
Check $195.00 0000007221
CITY OF CARMEL
Rcvd From: CITY OF CARMEL
Have a Wonderful Day!
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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.
Pay Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
N 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
Signatur
(7
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund