HomeMy WebLinkAbout320297 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 366267
Q ONE CIVIC SQUARE • ASHLEY ULBRICHT CHECK AMOUNT: S"....'**9.00*
CARMEL, INDIANA 46032 433 CARMEL AUTUMN 4 032E CHECK NUMBER: 320297
,roN CHECK DATE: 01/04/18
DEPARTMENT
1/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4341999 REIMB 9.00 OTHER PROFESSIONAL FE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 366262
ASHLEY ULBRICHT IN SUM of$ CITY OF CARMEL
433 AUTUMN DRIVE 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.
CARMEL,.IN 46032
Payee
$9.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order.#
Department of Law 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
Receipt 43-4194r $9.00 1 hereby certify that the.attached invoice(s),or 12/7/17 Receipt Nationstarv.Clingerman $9.00
1180 101 Prior Year 1180 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,January 02,2.018
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 ledger classification if claim paid.motor vehicle highway fund. ClerkJreasuref
f
Hamilton County Recorder
Jennifer Hayden
12/07/2017 03:08:55P Trans 4: 000837242
Business Date: 12/07/2017 Rec By: SAO
000055441 COPY 03:08:55P
Subtotal: $9.00
Receipt Total, +9.00
Paid By Amount Ref R
Cash $20.00
ASHLEY ULBRICHT _
Cash Bark -611.00
Rcvd From: ASHLEY ULBRICHT
Thank You