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Home My WebLink About237622 09/30/14 0��+,F. CITY OF CARMEL, INDIANA VENDOR: 00351684 ® ONE CIVIC SQUARE CLERK OF THE COURTS-ANNUAL FEES CHECK AMOUNT: $.....**180.00* f. ,=a CARMEL, INDIANA 46032 P 0 BOX 6069 DEPT 179 CHECK NUMBER: 237622 9M�«ON�` INDIANAPOLIS IN 46206-6069 CHECK DATE: 09/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355300 HANEY 180.00 ORGANIZATION & MEMBER a ppealsderk.Kgov Payment Acknowledgment Thank you for initiating your payment! Please print two (2) copies of this page --submit one copy with your payment and keep the other copy for your records. For payment by check:Write your confirmation number(see below) on your check, and then mail or deliver your check, along with a printed copy of this Payment Acknowledgement, to: - - -- -_ - -Clerk--of-the-Courts-Annual Fees P.O. Box 6069— Dept. 179 Indianapolis, IN 46206-6069 Your payment will be recorded as of the postmark date on the envelope containing your full payment. Late fees will be due if full payment is not timely submitted. For payment in cash:-Cash payments may be personally delivered with a copy of this Payment Acknowledgement 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 Confirmation #:13249 Billing Information - Confirmed: 9/23/2014 Douglas Haney (11207-49) AnnualFee .............................................. $180.00 Subtotal: $180.00 Grand Total: $180.00 You are signed in as dhane carrnel.in. ov Logout 9 Y@ 9 � 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 #: 13249 Save as PDF Pending Fees (Transaction processed at 1:33:40 PM ECT, 9/23/2014) Douglas Haney(11207-49) 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 this Payment Acknowledgment,to: Sohn Q.Public 713 Wain street S2rnewhere Indiana 46294 Date Clerk of the Coutts-Annual Fees (31:)565-5555 P.O.Box 6069—Dept. 179 PA�to.lhe Clerk of the Courts-Annual Fees Indianapolis, IN 46206-6069 Your payment will be recorded as of the postmark date on the envelope containing your full payment.Late fees will be due if full Meff= Confirmation 9 payment is not timely submitted. ..1,nnn 74258:1.:.-88963423,1- '1234 ,,. For payment in cash ' 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 appealscleik, g• Payment Acknowledgment Thank you for initiating your payment! Please print two (2) copies of this page --submit one copy with your payment and keep the other copy for your records. For payment by check:Write your confirmation number(see below) on your check, and then mail or deliver your check, along with a printed copy of this Payment Acknowledgement,to: Clerk-of-the'Courts --Annual Fees P.O. Box 6069— Dept. 179 Indianapolis, IN 46206-6069 Your payment will be recorded as of the postmark date on the envelope containing your full payment. Late fees will be due if full payment is not timely submitted. For payment in cash: Cash payments may be personally delivered with a copy of this Payment Acknowledgement 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 Confirmation #:13249 - —Billing Information - - Confirmed: 9/23/2014 Douglas Haney (11207-49) Annual Fee .............................................. $180.00 Subtotal: $180.00 Grand Total: $180.00 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199 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)) 9193114 1394-9 Ann,lal Fee - no,icilas Haney 0... Total 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in ac�corr-- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 r''eF'( of the G„' r-t IN SUM OF $ PO Box 6069 - Dept. 179 Indianapolis, IN 46206-6069 $ $180.00 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 1324 435-5300 $180.00 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 i 201 1 I Cost distribution ledger classification if Titl claim paid motor vehicle highway fund