HomeMy WebLinkAbout240067 12/09/2014 CITY OF CARMEL, INDIANA VENDOR: 368794
ONE CIVIC SQUARE APRIL MURRAY CHECK AMOUNT: $********1 1.22*
CARMEL, INDIANA 46032 C/O LAW CHECK NUMBER: 240067
°tiy�roN CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 11.22 ORGANIZATION & MEMBER
Indiana Payment Portal Page 1 of I
--------Your transaction is complete
Your transaction is complete. Print this receipt for your records. Your receipt identification number
is 14914850. Please reference this number in any correspondence regarding your transaction.
........... .......
Payer Information ?
;APRIL MURRAY
117030 KINGSBRIDGE BLVD.
:WESTFIELD, IN 46074
;phone : 317 - 399 - 7116
I ---iEr.iail-:-.aitdrray@carmel.in.gov.
Account Information ?
Transaction Details
Unit Extended
Description Quantity
Price Price
'Notary Application Fee $10.00 1 $10.00'
'Instant Access Fee
$1.22 1 $1.22;
;Total $11.22i
The following amounts have been charged to your credit card. Your credit card statement will show
i the followinq merchant name(s) and amount(s) for this transaction.
Merchant Amount
'IN Sec of State 800-236-5446 $11.221i
------------
The total amount charged to your credit card is $11.1.22.
Privacy Statement
http.s://secure.in.gov/apps/kwikekard/checkout/servlet/receipt?token=092FO907948E5F21... 12/1/2014
I
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
April Murray
Purchase Order No.
One Civic Square
Terms
Carmel, Indiana 46032
� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/5/14 4355300 Reimburse April Murrayfor Notary Application $11.22
fee per attached
;51
•v!
34..
L'1
1
Total C4 'c
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.
t
ALLOWED 20
Affil M. Ufa y IN SUM OF
One Civic Square
Carmel, Indiana 46032
$ $11.22
ON ACCOUNT OF APPROPRIATION FOR
Department of Law - 1180
435-5300 -Organization & Member Dues
Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.
# I hereby certify that the attached invoice(s),
1180 5300 $11.22' 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
4,pignature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund