181294 01/13/2010 V ENDOR: 357334 CITY OF CARMEL, INDIANA Page 1 of
l o t. ONE CIVIC SQUARE STEVEN R LLOYD CHECK AMOUNT: $1,250.00
CARMEL, INDIANA 46032 ATTORNEY AT LAW
4 PO BOX 355 CHECK NUMBER: 181294
WESTFIELD IN 46074
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 21720 1,250.00 PAUPER COUNSEL FEES
STEVEN R. LLOYD
ATTORNEY AT LAW
FEE FOR SERVICES
January 1, 2010
Carmel City Court
Attn: Kim
One Civic Square
Carmel, IN 46032
RE: Monthly Billing Statement
Pauper Clients
Legal Services Rendered from:
January 1, 2010 through. January 31, 2010 1250.00
TOTAL AMOUNT DUE 1250.00
Tax ID 315-66-1433
Please remit to: Steven R. Lloyd, Attorney at Law, P.O. Box 355, Westfield, IN 46074.
17408 TILLER CT., SUITE 200, P.O. BOX 355 WESTFIELD, INDIANA 46074 (317)507 -5585 Fax (317)867-3518
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
.›21Ci,wrui Purchase Order No.
0. 6--v 355 Terms
W,/41/4 ��L J d 7 7`( Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/6 0-4 i 46 75 0 0 0
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ass
4 74
/c25C -ao
ON ACCOUNT OF APPROPRIATION FOR
Board Members
4 t 0/05 067. al
DEPT or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
d 0 51/ 9.5a /A5D.o0 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
r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund