250248 10/07/15 a ur,C�q�
CITY OF CARMEL, INDIANA VENDOR: 120302
® 1 ONE CIVIC SQUARE HAMILTON COUNTY TREASURER CHECK AMOUNT: $**"`28,107.16*
CAR_MEL, INDIANA 46032 SUITE 206 HAMILTON COUNTY SQUARE CHECK NUMBER: 250248
'Mrsow- t CHECK DATE: 10/07/15
NOBLESVILLEIN 46060
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4358000 28,107.16 ASSESSMENT FEES
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 render?d, 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))
11/10/15 11.10.15 16-10-31-01-12-005.000 fall $17.50
11/10/15 11.10.15 16-10-31-01-12-002.000 fall $17.50
11/10/15 11.10.15 16-09-26-00-00-015.004 fall $37.50
11/10/15 11.10.15 16-09-36-00-19-001.000 fall $17.50
11/10/15 11.10.15 16-10-28-00-00-037.002 fall $37.50
11/10/15 11.10.15 17-09-29-00-00-005.000 fall $110.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton County Treasurer
IN SUM OF $
33 N. 9th•Street, Suite 112
Noblesvilie, IN 46060
$28,107.16
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 11.10.15 43-580.00 $25.00
1205 11.10.15 43-580.00 $32.50
1205 11.10.15 43-580.00 $17.50
1205 11.10.15 43-580.00 $17.50
1205 11.10.15 43-580.00 $17.50
1205 11.10.15 43-580.00 $37.50
1205 11.10.15 43-580.00 $17.50
1205 11.10.15 43-580.00 $37.50
1205 11.10.15 43-580.00 $110.00
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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. a
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
11/10/15 11.10.15 17-09-35-01-02-028.000 fall $32.50
11/10/15 11.10.15 16-09-36-00-00-015.000 fall $37.50
11/10/15 11.10.15 16-09-36-00-00-005.414 fall $37.50
11/10/15 11.10.15 16-09-36-00-00-024.000 fall $37.50
11/10/15 11.10.15 99-99-99-99-99-999.005 fall $27,467.16
11/10/15 11.10.15 17-09-26-04-01-034.000 fall $37.50
11/10/15 11.10.15 17-09-26-00-00-003.002 fall $37.50
11/10/15 11.10.15 16-09-36-00-00-008.001 fall $37.50
11/10/15 11.10.15 17-09-35-01-02-029.000 fall $32.50
11/10/15 11.10.15 16-09-36-00-00-008.000 fall $37.50
11/10/15 11.10.15 17-13-12-00-00-012.002 fall $25.00
11/10/15 11.10.15 17-09-35-01-02-011.000 fall $32.50
11/10/15 11.10.15 16-10-31-01-12-006.000 fall $17.50
1 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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton County Treasurer
IN SUM OF $
33 N. 9th Street, Suite 112
Noblesvi'lie, IN 46060
$28,107.16
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 11.10.15 43-580.00 $32.50 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1205 11.10.15 43-580.00 $37.50
materials or services itemized thereon for
1205 11.10.15 43-580.00 $37.50 which charge is made were ordered and
1205 11.10.15 43-580.00 $37.50 received except
1205 11.10.15 43-580.00 $27,467.16
1205 11.10.15 43-580.00 $37.50
1205 11.10.15 43-580.00 $37.50
Monday, October 05, 2015
1205 11.10.15 43-580.00 $37.50 r
1205 11.10.15 43-580.00 $32.50
Director, Administration
1205 11.10.15 43-580.00 $37.50 Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund