HomeMy WebLinkAbout250363 10/07/1 5 c: CITY OF CARMEL, INDIANA VENDOR: 368930
® l ONE CIVIC SQUARE JON OBERLANDER CHECK AMOUNT: $"""**""180.00"
_. CARMEL, INDIANA 46032 11435 CHARLESTON PARKWAY CHECK NUMBER: 250363
FISHERS IN 46038 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 COURT FEE 180.00 MARION CTY ANNUAL FEE
portal.courts.l N.gov
Invoice for Payment by Check
This is an invoice for a payment you owe. Your annual attorney registration is not complete
until your payment is received by the Clerk's Office. Follow the instructions below to remit
payment.
Please print two (2) copies of this page: submit one copy with your payment and keep the
other copy for your records.
For payment by-check: Write your confirmation number (see below) on your check, and
then mail or deliver your check, along with a printed copy of this Invoice, to:
Clerk of the Courts - Annual Fees
P.O. Box 6069 — Dept. 179
Indianapolis, IN 46206-6069
Your payment will be recorded as of the postmark date on the envelope containing your full
payment. Late fees will be due if full payment is not timely submitted.
For payment in cash: Cash payments may be personally delivered with a copy of this
Invoice between 8:30 a.m. - 4:30 p.m. on regular business days to the following location:
Clerk of the Courts
402 W. Washington St., Rm. W062
Indianapolis, IN 46204
Confirmation #:14916
Billing Information
Confirmed: 9/15/2015
Jon Oberlander
i
Jon Oberlander (29414-49)
Annual Fee ............................................ $180.00
Grand Total: $180.00
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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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
09/23/15 I 0I I $180.00
1180 101
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
JON OBERLANDER
IN SUM OF $
$180.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Members
0 43-553.00 $180.00 1 hereby certify that the attached invoice(s), or
1180 I 101
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
Thursday, September 24, 2015
6—ou.g aney, City Attorney
Cost distribution ledger classification if
claim paid motor vehicle highway fund