HomeMy WebLinkAbout259289 06/03/16 +��,C.1Nb
fir® �*� CITY OF CARMEL, INDIANA VENDOR: 353821
`�. CHECK AMOUNT: $********11.22*
ONE CIVIC SQUARE LISA SCOTT
r. ?a CARMEL, INDIANA 46032 1922 ASHLEY WAY-APT B CHECK NUMBER: 259289
9M�TON�, WESTFIELD IN 46074 CHECK DATE: 06/03/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 051916 11.22 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
LISA SCOTT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1922 ASHLEY WAY-APT B IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
W ESTFI ELD, IN 46074 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$11.22 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Enaineerina
Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 42-390.99 $11.22 1 hereby certify that the attached invoice(s),or 5/19/16 0 Notary Renewal Fee $11.22
2200 (10 201 2200 201
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
Tuesday, May 31,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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Your transaction is complete. Print this receipt for your records. Your receipt identification number
is 22337293. Please reference this number in any correspondence regarding your transaction.
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Payer Information?
LISA SCOTT
1922 ASHLEY WAY APT. B
VESTFIELD, IN 46074
!Phone : 317 - 993 - 7421
Email : lscott@carmel.in.gov
Account Information ?
j5***********1850 exp. 08/18
Transaction Details
Description Unit QuantityExtended
Price Price !
Notary Applieation�Fee $10.00 1 $10.00
Instant Access Fee $1.22 1 $1.22 ,
1Total : - - - — —. n-- --—_ -- $11.22
The following amounts have been charged to your credit card. Your credit card statement will show
_ the_following merchant name(s) and amount(s) for this transaction.
Merchant 'Amount
IN-Size State'80R =54416
The total amount charged to your credit card is $11.22. j� �P
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