308657 02/28/17 (9"
CITY OF CARMEL, INDIANA VENDOR: 369043
CHECKAMOUNT: $*`"""'`30.00`
ONE CIVIC SQUARE SIMPLIFILECARMEL, INDIANA 46032 4844 NORTH 300 WEST,SUITE 300 CHECK NUMBER: 308657
PROVO UT 84604 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4340600 INTRGY 30.00 RECORDING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 369043 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SIMPLIFILE IN SUM OF$ CITY OF CARMEL
4844 NORTH 300 WEST, SUITE 300 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.
PROVO, UT 84604
Payee
$30.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
INTRGY F43-406.0 $30.00 I hereby certify that the attached invoice(s),or 2/21/17 INTRGY 9650 Shelbome $30.00
1192 101 1192 101
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, February 21,2017
Mike Hollibaugh
Director
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Simplifile Invoice
Prepared for: City of Carmel
Included Organization: City of Carmel
For the period: 02/01/2017 through 02/28/2017
Account number: INTRGY
Report generated:02/28/2017 09:47 PM MST
Charges
NAME TYPE PG ENTRY RECORD DATE AMT SF TOTAL
Hamilton County,IN
Feb 14,2017
021417
9650 shelborne RF/FA:SF 1 E 2017006501 02/14/201711:35 AM EST 12:00A 3.00A 1QQ
_...:.. _ ._. . ._ ..... .__... .._ �_.-_. .._ ... rte..._... . -- _..�... _:., m......, _..,.
9650 shelbome rd 2
RELEASE SF 1 E 2017006502 : 02/14/2017 11:35AM EST 12 00 A 3.00 A . ism
Totals for Hamilton County,IN 24.00 6.00 30.00
Total of All Charges 24.00 6.00 30.00
Invoice Summary
INVOICE PERIOD INVOICE NUMBER DUE DATE AMOUNT DUE
02/01/2017 through 02/28/2017 INTRGY-02282017 Upon Receipt $30.00
Questions Contact:
Simplifile Support 1-800-460-5657,option 3
4844 North 300 West,Suite 202
Provo, UT 84604
E-recording Report of Recorded Documents
Itemized Fee View
Prepared for:City of Carmel
Included Organization:City of Carmel
For the period:02/14/2017
Account number: INTRGY
Report generated:02/14/2017 09:38 AM MST
Documents Recorded
NAME TYPE PG ENTRY RECORD DATE SF AMT TOTAL PROCESSED
Hamilton County,IN
Feb 14,2017
021417
9650 shelborne RELEASE 1 E 2017006501 02/14/201711:35 AM EST Submission Fee 3.00 SECURITY PROTECTION 0.500 02/14/2017
0.00 OFFICIALS TRAINING 0.50 0.50 02/14/2017
0.00 RELEASEIASSIGNMENT 6.00 6.00 02/14/2017
0.00 CROSS REFERENCE 1.00 1.00 02/14/2017
0.00 SUPPLEMENTAL FEE 4.00 4.00 02/14/2017
3.00 12.00 15.00
9650 shelborne rd 2 RELEASE i E 2017006502 02/14/2017 11:35 AM EST Submission Fee 3.00 SECURITY PROTECTION 0.50 3M 02/14/2017
0.00 OFFICIALS TRAINING 0.50 0.50 02/14/2017
0.00 RELEASE/ASSIGNMENT 6.00 6.00 02/14/2017
0.00 CROSS REFERENCE 1.00 1.00 02/14/2017
0.00 SUPPLEMENTAL FEE 4.00 4.00 02/14/2017
3.00 12.00 15.00
6.00 24.00 30.00
Totals for Hamilton County,IN 6.00 24.00 30.00
Recording Fee Totals
COUNTY RECORD DATE SF AMT
Hamilton County,IN 02/14/2017 6.00 24.00 30.00
Totals for Hamilton County,IN 6.00 24.00 30.00
Total of All Recording Fees 6.00 24.00 30.00
Document Count:2
(questions Contact:
Simplifile Support 1-800-460-5657, option 3
4844 North 300 West,Suite 202
Provo, UT 84604