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318160 11/07/2017 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL 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. Payee '; j�23�1�10 Purchase Order No. Aw�ftc� 1�Jrfm Terms om i6m�tim�A• V^ Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 112 0� Total W I hereby certify that the attached invoice(s), or bill(s), is (are)tr an rect andJhVe audi£e same in accor- dance with IC 5-11-10-1.6. 20-n— o -�%,f Clerk-Treasurer 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, 2017. ITEMIZATION COLLECTIONS PRIOR YEAR TO DATE THIS PERIOD COLLECTIONS $11,230.00 $96,835.38 $108,065.38 COURT COSTS: 1000.0000.0000.R502 TOTAL AMOUNT COLLECTED $11,230.00 $96,835.38 $108,065.38 Dated 52017 City Fiscal Officer NOTE—Mail To: Hamilton County Auditor One Hamilton County Square Noblesville, IN 46060 (Make check payable to Hamilton County Treasurer)