310001 04/10/17 CITY OF CARMEL, INDIANA VENDOR: 120301
ONE CIVIC SQUARE HAMILTON COUNTY TREASURER CHECK AMOUNT: $ 14,420.52
CARMEL, INDIANA 46032 C/O HAMILTON CO AUDITOR CHECK NUMBER: 310001
1 NOBLESVILHAMILTOECON OUNTY SQUARE CHECK DATE: 04/10/17
46060
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 14,420.52 OTHER EXPENSES
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PRESCRIBED BY STATE BOARD OF ACCOUNTS CITY AND TOWN FORM 217 CT(1997)
REPORT TO COUNTY AUDITOR OF COURT COSTS 41611-1
COLLECTED IN CITY/TOWN COURT
To the Auditor of Hamilton County, Indiana
1, 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 MARCH, 2017.
ITEMIZATION COLLECTIONS PRIOR YEAR TO DATE
THIS PERIOD COLLECTIONS
$21,283.49 $35,704.01
COURT COSTS: $14,420.52
TOTAL AMOUNT COLLECTED $21,283.49 $35,704.49
$14,420.52
Dated / , 2017
U
City Fiscal Officer"
NOTE—Mail To:
Hamilton County Auditor
One Hamilton County Square
Noblesville, IN 46060
(Make check payable to Hamilton County Treasurer)