HomeMy WebLinkAbout319099 11/28/17 \ - CITY OF CARMEL, INDIANA VENDOR: 129401
ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECK AMOUNT: $*******125.97*
CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 319099
CHECK DATE: 11/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. _ AMOUNT DESCRIPTION
1192 4355300 81107808 125.97 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 129401 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MICHAEL HOLLIBAUGH IN SUM OF$ CITY OF CARMEL
C/O DOCS 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
$125.97
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
81107808 43-553.00 $125.97 I hereby certify that the attached invoice(s),or 11/5/17 81107808 Landscape Architect License Renewal $125.97
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, November 28, 2017
Mike Hollibaugh
Director
I 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 distribution k lassification if claim paid motor vehicle highway fund. Clerk-Trea
11/5/2017 Welcome to Indiana Licensing
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Payment.received - thank you.
Licensee: Michael R.Hollibaugh
License Number: LA29300015
Authorization Code: 03006C
Received Date: 11/5/2017 5:03:50 PM
Transaction ID: 81107808
Credit Card Number::XXXX XXXX
XXXX 1738
Fee Amount: $120.00
Enhanced Fee: $2.50
Instant Fee: $3.47
Total Payment: $125.97
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