HomeMy WebLinkAbout246910 06/30/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 368794
ONE CIVIC SQUARE APRIL MURRAY CHECK AMOUNT: $' *'"'""'6.12'CARMEL, INDIANA 46032 C/O LAW CHECK NUMBER: 246910
CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4358300 6.12 OTHER FEES & LICENSES
Your transaction is complete
Your transaction is complete. Print this receipt for your records. Your receipt identification number
is 16972965. Please reference this number in any correspondence regarding your transaction.
Payer Information ?
APRTI MIIR17Av
Phone
;Email : amurray@carmel.in.gov
Account Information ? I
Transaction Details
_. .Unit .__ ._ ... ..... Extenrte '
Description Quantity
Price Price
Duplicate Commission Fee $5.00 1 $5.00
Instant Access Fee $1.12 1 $1.12
Total : $6.12
The following amounts have been charged to your credit card. Your credit card statement will show
the following merchant name(s) and amount(s) for this transaction.
Merchant Amount
IN Sec of State 800-236-5446 $6.12
The total amount charged to your credit card is $6.12.
Privacy Statement
https:Hsecure.in.gov/apps/kwlkekard/checkout/soviet/receipt?token=l8BAA70DOI D6254... 6/17/2015
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.
1 Civic Square
Terms
Carmel, Indiana 46032
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/19/15 reimbursement for fees associated with Nota 6.12
per the attached
y
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
April Murray IN SUM OF $
1 Civic Square
Carmel, Indiana 46032
$ $6.12
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
4358300 Other Fees & Licenses
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
1180 4358300 $6.12 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
r
t)Yl Z 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund