HomeMy WebLinkAbout324974 05/09/18 1y "f CITY OF CARMEL, INDIANA VENDOR: 372395
ONE CIVIC SQUARE COUNTY OF WASHTENAW MICHIGAN CHECK AMOUNT: $*F�R k►■"77.00`
CARMEL, INDIANA 46032 220 N.MAIN CHECK NUMBER: 324974
P.O.Box 8645 CHECK DATE: 05/09/18
ANN ARBOR MI 48107-8645
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4341999 28860 77.00 OTHER PROFESSIONAL FE
-10
VOUCHER NO.. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372395 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
COUNTY OF WASHTENAW MICHIGAN IN SUM OF$ CITY OF CARMEL
220 N. MAIN An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
P.O. BOX 8645 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
ANN ARBOR, MI 48107-8645
Payee
$77.00
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
28860 43-419.99 $77.00 1 hereby certify that the attached invoice(s),or 4/27/18 28860 Samuel Herman $77.00
1180 101 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
Friday,April 27,2018
'rofha Safi o A
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. Clerk-Treasurer
rptGeneralServicesInvoice Page 1 of 1
INVOICE
WASHTENAW COUNTY SHERIFF'S OFFICE-CIVIL
BUREAU
2201 Hogback Road,Ann Arbor,MI
48105
Phone:734-973-4937 Fax: 734-973-
4522
INVOICE#: 28860
INV DATE: 4/27/2018
Case: City of Carmel V. Samuel Herman
CourtCase: 29D05-1715-SC-011512
Client Info: Douglas Haney Date Rec'd: 12/27/2017
Service Affidavit&Claim
Type:
One Civic Square Attorney Douglas Haney
Carmel, IN 46032
(317)571-2472
Defendant/Witness Info:
Company Name Name Address Phone
Samuel Herman 9979 Woodbend Dr Saline,MI 48176
Date Posted: Date Served:
Service gad Address
Status:
Time Time Served:
Process Service Charges
Service Fee: $10.00
Mileage Fee: $17.00 Payment is Due Upon Receipt
Stand by Time
Out of State Fee: $50.00
Rush Fee: Remit to:
AffidavitFee:
Payment: Washtenaw County Sheriff's Office
Total Due: $77.00 2201 Hogback Rd
Ann Arbor, MI 48105
ATTN: Civil Bureau
Make all checks payable to "Washtenaw County Sheriffs Office" or "WCSO"
We accept Visa and Mastercard by phone.
Please call 734-973-4937 to schedule a payment.
THANK YOU FOR YOUR BUSINESS!
EIN#38-6004894
file:///C:/Users/abennett/AppData/Local/Microsoft/Windows/Temporary%20Internet%20F... 4/27/2018