319338 12/05/17 , CITY OF CARMEL, INDIANA VENDOR: 369043
ONE CIVIC SQUARE SIMPLIFILE CHECK AMOUNT: 9*******196.00*
CARMEL, INDIANA 46032 4844 NORTH 300 WEST,SUITE 300 CHECK NUMBER: 319338
PROVO UT 84604 CHECK DATE: 12/05/17
r
DEPARTMENT ACCOUNT_ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 11302017 196.00 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
$196.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Clerk Treasurer 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
11302017 43-406.00 $196.00 1 hereby certify that the attached invoice(s),or 12/1/17 11302017 NOVEMBER 2017 SERVICES $196.00
1701 101 1701 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, December 05,2017
Quinn,Jacob
Deputy Clerk of City Business
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer'
Simplifile Invoice
Billed to: City of Carmel
Included Organization: City of Carmel
For the period: 11/01/2017 through 11/30/2017
Account number: INTRGY
Report generated: 11/30/2017 09:37 PM MST
Charges
NAME TYPE PG ENTRY RECORD DATE AMT SF TOTAL
Hamilton County,IN
Nov 15,2017
]]1517
17 concord ct LIEN 1 E 2017056617 11/15/201712:04 PM EST 25.00A 3.00A 28.00
15 bexhill dr LEN 1 E 2017056618 11/15/201712:04 PM EST 25.00A 3.00A 28.00
215 lexington blvd LIEN 1 E 2017056619 11/15/201712:04 PM EST 25.00A 3.00A 284
Nov 29,2017
CTE 11.29.17
King of Glory Lutheran Church ENCROACHMENT 9 E 2017058839 11/29/2017 04:30 PM EST 25.00 B 3.00 B 28.00
W 116th St and Illinois(11590 Merian Street N ENCROACHMENT 12 E 2017058840 11/29/2017 04:30 PM EST 25.00 B 3.00 B 2800
3332E 136th Street-Bixler ENCROACHMENT 8 E 2017058841 .11/29/2017 04:30 PM EST 25.00 B 3.00 B 28_00
537 Stableside Lane-Soriaos v ENCROACHMENT 8 E 2017058842 11/29/2017 04:30:PM EST 25.00 B 3.00 B 28.00
Totals for Hamilton County,IN - - 175.00 21.00 196.00
Total of All Charges 175.00 21.00 196.00
Invoice Summary
INVOICE PERIOD INVOICE NUMBER DUE DATE AMOUNT DUE
11/01/2017 through 11/30/2017 INTRGY-11302017 Upon Receipt $196.00
Please remit payment to:
Simplifile
5072 North 300 West Provo, UT 84604
1-800-460-5657, option 3