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305782 12/07/16
5�q y%" \ CITY OF CARMEL, INDIANA VENDOR: 120301 ONE CIVIC SQUARE HAMILTON COUNTY TREASURER CHECK AMOUNT: $""`10,595.80• CARMEL, INDIANA 46032 C/O HAMILTON CO AUDITOR CHECK NUMBER: 305782 1 HAMILTON COUNTY SQUARE CHECK DATE: 12/07/16 NOBLESVILLE IN 46060 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 111416 10,595.80 OTHER EXPENSES VUUL;HF:R NO. WARRANT NO. ALLOWED 20 IN SUM OF $ 2© 3L) I $ l0, 5q5 . go ON ACCOUNT OF APPROPRIATION FOR Board Members Po#. INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), `6l1 (Q 1 l l'-A502399 (c,Sq5- 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 _C�r i ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund PRESCRIBED BY STATE BOARD OF ACCOUNTS CITY AND TOWN FORM 217 CT(1997) REPORT TO COUNTY AUDITOR OF COURT COSTS COLLECTED IN CITY/TOWN COURT To the Auditor of Hamilton County, Indiana I, Christine Pauley, City Officer of the City of Carmel, Indiana,hereby certify that I have received the following amounts of the court costs payable to the County: For the month ending October 31, 2016. ITEMIZATION COLLECTIONS PRIOR YEAR TO DATE THIS PERIOD COLLECTIONS $105,727.83 $116,323.63 COURT COSTS: $10,595.80 TOTAL AMOUNT COLLECTED $105,727.83 $116,323.63 $10,595,80 Dated , 2016 City Fiscal Officer NOTE—Mail To: Hamilton County Auditor One Hamilton County Square Noblesville, IN 46060 (Make check payable to Hamilton County Treasurer)