HomeMy WebLinkAbout329083 08/22/18 CITY OF CARMEL, INDIANA VENDOR: 061155
ONE CIVIC SQUARE CLERK OF COURTS ANNUAL FEE CHECK AMOUNT: $*******180.00*
:3 CARMEL, INDIANA 46032 PO BOX 6069 CHECK NUMBER: 329083
DEPT.179 CHECK DATE: 08/22/18
INDIANAPOLIS IN 46260-6069
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 19248 180.00 ORGANIZATION & MEMBER
VOUCHER NO. a WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 061155 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CLERK OF COURTS ANNUAL FEE IN SUM OF$ CITY OF CARMEL
PO BOX 6069 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DEPT. 179 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46260-6069
Payee
$180.00
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
19248 43-553.00 $180.00 1 hereby certify that the attached invoice(s),or 8/22/18 19248 Annual Dues-DCH $180.00
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
Wednesday,August 22, 2018
5;;j�roo-;Iii
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
portal.courts.IN.gov
Invoice for Payment by Check
This is an invoice for a payment you owe. Your annual attorney registration is not complete
until your payment is received by the Clerk's Office. Follow the instructions below to remit
payment.
Please print two (2) copies of this page: submit one copy with your payment and keep the
other copy for your records.
For payment by check: Write your confirmation number (see below) on your check, and
then mail or deliver your check, along with a printed copy of this Invoice, to:
Clerk of the Courts -Annual Fees
P.O. Box 6069— Dept. 179
Indianapolis, IN 46206-6069
Your payment will be recorded as of the postmark date on the envelope containing your full
payment. Late fees will be due if full payment is not timely submitted.
For payment in cash: Cash payments may be personally delivered with a copy of this
Invoice between 8:30 a.m. -4:30 p.m. on regular business days to the following location:
Clerk of the Courts
402 W. Washington St., Rm. W062
Indianapolis, IN 46204
Confirmation #:19248
Billing Information
Confirmed: 7/26/2018
Douglas C. Haney
317 571 2472 dhaney@carmel.in.gov
Douglas Haney (11207-49)
Annual Fee .............................................. $180.00
Grand Total: $180.00