HomeMy WebLinkAbout247411 07/15/15 �%��� CITY OF CARMEL, INDIANA VENDOR: 360469
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ONE CIVIC SQUARE CONNIE MURPHY CHECK AMOUNT: $********38.72*
s9, ,_�; CARMEL, INDIANA 46032 9 HENSEL CT CHECK NUMBER: 247411
�'��r6N'�°' CARMEL IN 46033 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4358300 11.22 OTHER FEES & LICENSES
209 4463000 27.50 FURNITURE & FIXTURES
Indiana Payment Portal Page 1 of I
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Your transaction is complete
Your transaction is complete. Print this receipt for your records. Your receipt identification number
is Please reference this number in any correspondence regarding your transaction.
Payer Information ?
-ON 14,11
Phone -
Email cmurphy@carmel.in.gov
............
............ ......
Account Information ?
�6***********: exp. 06/16
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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 :
The following amounts have been charged to your credit card. Your credit card statement will show
the following merchant name(s) and amount(s)forthis trans,action....
7
Merchant Amount
IN Sec of State 800-236-5446
The total amount charged to your credit card is $11.22.
Privacy Statement
https:Hsecure.in.gov/apps/kwikekard/cl-ieelcout/seivlet/receipt?token7--19C1949C2136177F... 6/30/2015
Auction Sale-118-Barn 5-29-2015
PAI® IN FULL
Burgess Auctions and Appraisals
10836 S State Road 13 Invoice#: 698
Fortville, IN 46040 Date: 5/29/2015 9:21:45
Fortville, IN 46040 Page: 1
Phone: 317-76-9980
#50
iConnie E Murphy Ej
SOLD T0:
Tax Exempt M 0031201 550 020
QUANTITY EXTENDED
Lot# DESCRIPTION. ?> UNIT PRICE PRICE
202 OFFICE CHAIR 1 x 25.00 25.00
Total Extended Price: 25.00
10% Buyer's Premium: 2.50
Tax1 Default: 0.00
Invoice Total: $27 50
Cash - 5/29/2015 - 27.50
Remaining Invoice Balance: $0.00
4
Prescribed by State Board of Accounts ACCOUNTS PAYABLE TOUCHER 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
Connie Murphy
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))
7/9/15 reimbursement for fees associated with Notary $11,22--
and office furniture purchase per the attached $27.50
Total
$38.72
1 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
�c)nri�� U�p�J IN SUM OF $
1 Civic Square
Carmel, Indiana,46032 j
$ $38.72
f
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
i
4358300 Other Fees & Licenses
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
209 4358300 $11.22 or bill(s) is (are) true and correct and that
209 4463000 $27.50 the materials or services itemized thereon
for which charge is made were ordered and
received except
I
2015
Sig'41 )OL
na ure
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund