315458 08/30/17 �`� ��'`'. CITY OF CARMEL, INDIANA VENDOR: 061155
'• ` ONE CIVIC SQUARE CLERK OF COURTS ANNUAL FEE CHECK AMOUNT: S"'""'"'180.00"
Q CARMEL, INDIANA 46032 PDO BOX 6069 CHECK CHECK DATE: 08/30/17
'�/I FQN�� INDIANAPOLIS IN 46260-6069
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 18259 180.00 ORGANIZATION & MEMBER
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portal.courts.l N.gov
Invoice for Payment by Check
This is an invoice for a payment you owe. Your annual attorney registration is not complete
until your payment is received by the Clerk's Office. Follow the instructions below to remit
payment.
Please print two (2) copies of this page: submit one copy with your payment and keep the
other copy for your records.
For payment by check: Write your confirmation number (see below) on your check, and
then mail or deliver your check, along with a printed copy of this Invoice, to:
Clerk of the Courts -Annual Fees
P.O. Box 6069— Dept. 179
Indianapolis, IN 46206-6069
Your payment will be recorded as of the postmark date on the envelope containing your full
payment. Late fees will be due if full payment is not timely submitted.
For payment in cash: Cash payments may be personally delivered 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
Confirmation #:18259
Billing Information
Confirmed: 8/23/2017
Jon Andrew Oberlander
jonoberlander1 @me.com
Jon Oberlander (29414-49)
Annual Fee .............................................. $180.00
Grand Total: $180.00