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Home My WebLink About241734 02/03/15 CITY OF CARMEL, INDIANA VENDOR: 00350015 e' ONE CIVIC SQUARE HAMILTON COUNTY PROSECUTOR CHECK AMOUNT: $'•'•18,724.65` CARMEL, INDIANA 46032 1 HAMILTON COUNTY SQUARE CHECK NUMBER: 241734 9y�TON. .` NOBLESVILLE IN 46060 CHECK DATE: 02/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4111000 32296 2015 17,394.00 COMMUNITY PROSECUTOR 1110 4121000 32296 2015 1,078.43 COMMUNITY PROSECUTOR 1110 4124000 32296 2015 252.22 COMMUNITY PROSECUTOR FIECENED Treasurer of Hamilton County INVOICE JAN 2 2 20115 Hamilton County Prosecutor's Office One Hamilton County Square,Suite 134 O,'.ii."EL POLICE DEPT. Noblesville,IN 46060 Phone 317-776-8595 INVOICE#2015 Fax 317-776-8469 DATE:1/21/2015 TO: FOR: Carmel Police Department Carmel Community Deputy Prosecutor Attn:Chief Tim Green 2015 Part time salary 3 Civic Square Carmel,Indiana 46032 - DESCRIPTIONS - AMOUNT --HAMILTON-COUNTY-- CARMEL-PD---_--. -. SHARE SHARE Jessica Hopper,Carmel Community Deputy Prosecutor 2015 Salary $34,788 $17,394 $17,394 Social Security 6:2%- $2,156.86- $1,078.43 $1,078.43 Medicare 1.45% $504.43 $252.22 $252.22 $37,449.29 $18,724.65 TOTAL $18,724.65 Make all checks payable to Treasurer of Hamilton County Mail Payment To:Hamilton County Prosecutor's Office,Attn:Bookkeeper,One Hamilton County Square,Suite 134,Noblesville,IN 46060 This is to attach a collection report along with payment. THANKYOU .3"\4 . City ®� /�(lam/�� INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32296 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1I23rzOIS H; n-Aton County Prosecutor's Office Carmol Police Department Karon Pear-son, Baokkoopor SHIP 3 CIVIC Square VENDOR On@ HamiltIon County Sgluar@, Gulto 134 TO Cafmd, IN 46532 Noblosvllie, IN 46060 (31 7)571-12659 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 41®110.00 1 Eacb part-time salary Community Prosecutor $17,394.00 $17,304.00 Sub Total., $17,394.40 Account 41-210.00 1 Each social security Community Prosecutor< $1,078.43 31,078.43 Sub Total: $1,078.43 ; Z1 "N Account 41=240. - �> 252 22 $252.2`► 1 Each medicare Community Prose 6r'1-1','.- �f �`•� -� �.--�� $' �. ,A �' " - Sub Total, $252.22 I' t 'Y aiyr� yI J ta�I S� T vl o �ti Send Invoice To: :;` , f 17 I Carmel Police Department Attn: pat Young 3 Civic Square Caramel, IN 45032® PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT .,,AMO,UNT 4rtlfm C t't71 CG i epl. Juca,rcw.wr PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTJRY THQTTHERE IS AN UNOBLIGATED,BALANCE IN THIS APPROP,RIATIONySUFFICIENT TO PAY FOR THE rABOVE ORDER. •SHIP REPAID. iP • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL y� {{{ SHIPPING LABELS. f, hlof of I "one@ r •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE t Dil Y AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 2 9 6 A.RV. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 Signature — -- - — Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton County Prosecutor's Office Karen Pearson, Bookkeeper IN SUM OF$ One Hamilton County Square, Suite 134 Noblesville, IN 46060 $18,724.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#IrITI-E AMOUNT Board Members 32296 2015 41-240.00 $252.22 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 32296 2015 41-210.00 $1,078.43 materials or services itemized thereon for 32296 2015 41-110.00 $17,394.00 which charge is made were ordered and received except Wednesd y, January 28, 2015 Chief of Police Title ' I Cost distribution ledger classification if claim paid motor vehicle highway fund 'I Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 01/22/15 2015 medicare Community Prosecutor $252.22 01/22/15 2015 social security Community Prosecutor $1,078.43 01/22/15 2015 part-time salary Community Prosecutor $17,394.00 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ' 20 Clerk-Treasurer