HomeMy WebLinkAbout251195 11/04/15 Q
CITY OF CARMEL, INDIANA VENDOR: 368794
ONE CIVIC SQUARE APRIL MURRAY CHECK AMOUNT: $**-"""32.71'
CARMEL, INDIANA 46032 C/O LAW CHECK NUMBER: 251195
CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4341999 5.11 OTHER PROFESSIONAL FE
1180 4343004 27.60 TRAVEL PER DIEMS
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Clerk ofthe Supreme Court, Court ofAppeals, and Tax Court
Indianapolis, Indiana
Payor Receipt N0.
April Murray 2015-00811
Transaction Date
1O/23/2015
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Appellate Courts Email Under 2OPages M|SC 5�UU
Appellate Courts Email Under 2OPages M|SC 510
SUBTOTAL 5.00
PAY&DEwTTC)TAL 5.00
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OFFICIAL RECEIPT
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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))
10/30/15 reimbursement for fees
case - Maraman - per the attached
Total
$5.11
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
April Murray
IN SUM OF $
1 Civic Square
Carmel, Indiana 46032
$ $5.11
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 4341999 $5.11 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
20
. Sig
Cost distribution ledger classification if Tit e
claim paid motor vehicle highway fund
escribed by State Board of Accounts
General Form No.101 (1955)
MILEAGE CLAIM
City of Carmel, Indiana TO DR.
(Governmental Unit)
Department of Law - 1180 On Account of Appropriation No. 434-3004 for Mileage
Office,Board, Department or Institution)
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE
20 15 Point Point Start Finish TRAVELED PER MILE
C) 3 t -Fur n Fs
�o A/0'5(00
0 5 l -1LAx -Z
Auto License No. TOTALS �po
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
ursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
lowing all just credits, and that no part of the same has been paid.
ate i
Clcdm No. Warrant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
U That it is duly authenticated as required
by law;
That it is based upon statutory authority;
-14 That it is apparently correct
$ incorrect
On Account of Appropriation No.4343004 for
Disbursing Officer
Department of Law—=J 180
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