HomeMy WebLinkAbout301652 08/08/16 +u.CggM
i:' "• CITY OF CARMEL, INDIANA VENDOR: 00351684
z' ONE CIVIC SQUARE CLERK OF THE COURTS-ANNUAL FEES CHECK AMOUNT: $*******540.00*
CARMEL, INDIANA 46032 P O'BOX 6069 DEPT 179 CHECK NUMBER: 301652
9M�TON INDIANAPOLIS IN 46206-6069 CHECK DATE: 08/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 15638 180.00 15638
1180 4355300 15646 180.00 15646
1180 4355300 15654 180.00 15654
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CLERK OF COURTS ANNUAL FEE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6069 IN SUM OF$ CITY OF CARMEL
DEPT. 179 An invoice or bill to be property itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46260-6069 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$540.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Department of Law 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
15638 43-553.00 $180.00 1 hereby certify that the attached invoice(s),or 8/2/16 15638 Douglas Haney $180.00
1180 101 1180 101
15646 43-553.00 $180.00 bill(s)is(are)true and correct and that the 8/2/16 15646 Ashley Ulbricht $180.00
1180 101 materials or services itemized thereon for 1180 101
15654 I 43-553.00 I $180.00 8/2/16 I 15654 I Jon Obertander I $180.00
1180 101 which charge is made were ordered and 1180 101
received except
Tuesday,August 02,2016
b
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 eaSUreP
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Invoice for Payment by Check
Your payment has been initiated.Please print this page twice:one copy for your records and one to tum in with your payment.
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copy of this information has been emailed to you.
C�cifrmato�#_, 1.5638
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Fees (Transaction processed at 1:10:00 PM EDT, 7/28/2016)
Douglas Haney(11'207 49) Annual_F_ee F $180.00
Total Due $180.00
Instructions
For payment by check IMPORTANT:Write your confirmation number on the memo line of
Write your confirmation number(see below)on your check,and then your check.
mail or deliver your check,along with a printed copy of this
Invoice,to: _
-
Clerk of the Courts-Annual Fees 123tlain,Straet
P.O.Box 6069—Dept. 179 ra1y�r5e�; °aye -
Indianapolis,IN 46206-6069 Pay eo ede Clerk of the Courts=Annual.Fees �„„r
Your payment will be recorded as of the postmark date on the wder`nF, ;
envelope containing your full payment.Late fees will be due if full "Ar,o�nr '" t
payment is not timely submitted. hiQ , ;Gonfirina4ron#, :ti f
For payment in cash f]170074258 88;963423„ 1234„"
Cash payments may be personally delivered,in exact change only,
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
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unresponsive,please try again later today or tomorrow.And thank you for being timely with your registration.
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Invoice for Payment by Check
Your payment has been initiated.Please print this page twice:one copy for your records and one to tum in with your payment.
Failure to include a copy of this Invoice with your payment may result in your payment not-being credited to your account.A
copy of this information has been emailed to you.
nfi
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Fees (Transaction processed at 1:27:12 PM,EDT, 7/28/2016)
�AshleyaUlbncht-{26930-20) Annual Fee $180.00
--
Total Due � ,� _._ _____ ,� __ _ . _ ._ _ ,- - $180.00
Instructions
For payment by check IMPORTANT:Write your confirmation number on the memo line of
Write your confirmation number(see below)on your check,and then your check.
mail or deliver your check,along with a printed copy of this
Invoice,to:
Clerk of the Courts-Annual Fees 1}3rtainstreet F
�;s�rnexhere tnd��a�'�Y'd �u pate
P.O.Box 6069—Dept. 179
Indianapolis,IN 46206-6069 P8yylottie Cgerlt:sfthe` uttsitnuat Fees $ n
yonder of
Your payment will be recorded as of the postmark date on the # y
envelope containing your full payment.Late fees will be due if full 'Amor r xr
payment is not timely submitted. oiffinnafion .
For payment in cash jt 01]t7074Z58+ '88`I6343n ��34++
Cash payments may be personally delivered,in exact change only,
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
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https://secure.in.gov/apps/courts/portal/payment/summary 7/28/2016
7/28/2016 Indiana Courts Portal
Attention Portal Users
We are currently experiencing a high volume of traffic. If you have trouble signing in, or if the portal appears to be
unresponsive, please try again later today or tomorrow. And thank you for being timely with your registration.
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Fee Payment Need Help
.............................................................................................................. .. ............ .................._.............. .. . .
Invoice for Payment by Check
Your payment has been initiated.Please print this page twice:one copy for your records and one to turn in with your payment.
Failure to include a copy of this Invoice with your payment may result in your payment not being credited to your account.A
copy of this information has been emailed to you.
C(D firft=616475#.' 155654 `
Save as PDF
Fees (Transaction processed at 1:48:04 PM EDT, 7/28/2016)
Jon Ob�ila r�(294�14 9)-Annual Fee •.`. $180.00
Total Due $180.00
Instructions
For payment by check IMPORTANT:Write your confirmation number on the memo line of your
Write your confirmation number(see below)on your check,and then check.
mail or deliver your check,along with a printed copy of this Invoice,
to:
John q_PWI6
Clerk of the Courts -Annual Fees 123,M66 stmt.
P.O. Box 6069—Dept. 179 s meu+here Indiana
p (317)55 65555 #late,
Indianapolis, IN 46206-6069 =, Ragio'the
Clerk of the Coutts 7.Afihivall Fees
Your payment will be recorded as of the postmark date on the
envelope containing your full payment.Late fees will be due if full a;
payment is not timely submitted. raa ';,Ctsnftriitatiari
For payment in cashI dpi707425BI 8$9b34; 11t 1234+�
Cash payments may be personally delivered,in exact change only,
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
.................................................._..............................................._......._...........................................................................................................................
...........................................
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