250418 10/07/15 u�.�.IFM
CITY OF CARMEL, INDIANA VENDOR: 369043
6 'r, ONE CIVIC SQUARE SIMPLIFILE CHECK AMOUNT: $**.....298.00*
CARMEL, INDIANA 46032 4844 NORTH 300 WEST,SUITE 300 CHECK NUMBER: 250418
%"<'re� :r PROVO UT 84604 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 9/1-9/30 298.00 RECORDING FEES
0
Simplifile Invoice
Prepared for: City of Carmel
For the period: 09/01/2015 through 09/30/2015
Account number: INTRGY
Report generated: 09/30/2015 09:31 PM MDT
Charges
NAME TYPE PG ENTRY RECORD DATE AMT SF TOTAL
Hamilton County, IN
Sep 3,2015
Liberty Fund
perpetual storm EASEMENTS 8 E 2015046734 09/03/2015 03:03 PM EDT 27.00 A 3.00 A 30.00
Sep 11,2015 i
091115
3328 annally dr //FN 1 E 2015047894 09/11/2015,'10:27.AM EDT 11.00 B 3.00 B 14.00 t✓
842 hickory L/EN 1 E 2015047895 09/11/2015"10:27 AM EDT 11.006 3.006 14.00
13786 fieldshire ter LIEN 1 E 2015047896 _________09/11/2015 10:27 AM EDT 11.00 B 3.00 B 14.00 1-
1021 s raag-eim LZEN T 1 E 2015047897 09/11/2015 10:27 AM EDT 11.008 3.00 B 14.00 f�
4717 royal oak In LIEN 1 E 2015047898 _ .09/11/2015.10:27 AM EDT_ 11.00 B 3.00 B 14.00
0 brookshire pkwy L/EN 1 E 2015047899 09/11/2015 10:27 AM EDT 11.00 B 3.00 B 14.00%.,,
9650 shelborne rd !ZEN 1 E 2015047900 09/11/2015 10:27 AM EDT 11.00 B 3.00 B 14.00V,
720 college w !ZEN 1 E 2015047901 09/11/2015 10:27 AM EDT 11.00 B 3.00 B _ 14.00 r/
12640 crescent dr w LIEN' 1 E 2015047902 09/11/2015 10.27 AM EDT 11.00 B 3.00 B 14.00✓
377 kimbrough In LIEN 1 E 2015047903 09/11/2015 10:27 AM EDT 11.00 B 3.00 B 14.00
10015 Chester dr LIEN 1 E 2015047904 09/11/2015 10:27 AM EDT 11.00 B 3.00 B 14.00_✓
10520 holaday dr w L/EN 1 i E 2015047905 09/11/2015 10:27 AMEDT11.00 B 3.00 B 14.00
4118 rollin�dr LL/EN 1 E2015047906 09/11/2015 10:27 AM EDT 11.00 B 3.00 B 14.00
121 walter st L/EN 1 E 2015047907 09/11/2015 10:27 AM EDT 11.00 B 3.00 B 14.00
121 walter st � LIEN �_ 1 E 2015047908 09/11/2015 10:27 AM EDT 11.00 B 3.00 B 14.00 (/
Sep 17,2015
northview
northview EASEMENTS 7 E 2015048955 09/17/2015 03:00 PM EDT 24.00 C 3.00 C 27.00✓
7189 Alice Paul Lane
Document 1 ENCROACHMENT 9 E 2015048956 09/17/2015 03:00,PM EDT 28.00 C 3.00 C 31_00 ✓
Totals for Hamilton County,IN 244.00 54.00 298.00
Total of All Charges 1 244.00 54.00 298.00
Invoice Summary
INVOICE PERIOD INVOICE NUMBER DUE DATE AMOUNT DUE
09/01/2015 through 09/30/2015 INTRGY-09302015 Upon Receipt $298.00
Included Organizations: City of Carmel;
Questions Contact:
Simplifile Support 1-800-460-5657, option 3
4844 North 300 West, Suite 202
Provo, UT 84604
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
nt Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
t-A
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
IN SUM OF $
044 ?6b W
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.#i 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
)eAA20
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund