182371 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00353363 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY TREASURER -CPD
INDIANA 46032 CHECK AMOUNT: $3,312.54
CARMEL
CIO HAMILTON CO AUDITOR
33 N 9TH ST, SUITE L21 CHECK NUMBER: 182371
NOBLESVILLE IN 46060
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357500 3,312.54 HUMANE SOCIETY SERVIC
From•:Hamilton County Auditor 3177768454 02/04/2010 15:06 #989 P.001
FAX TRANSMISSION
HAMILTON COUNTY AUDITOR
33 NORTH 9TH STREET, SUITE L2 1
NOBLESVILLE IN 45060
31 7- 775-8295 cTERESSAt
FAX: 3 1 7 -776 -8454
To: Date: h
Fax Pages:j including this cover sheet.
From:
Subject: Stray Animal Invoice
ti 1
STRAY ANIMAL INVOICE
MONTH OF SERVICE TOTAL AMOUNT DUI
Billable Strays x $157.74 each=
Confirmed Strays x $157.74 each= �j
TOTAL AMOUNT PAID
Payment due upon receipt of invoice.
Please return invoice, a copy of the animal count along with your check made payable to:
HAMILTON COUNTY TREASURER
c/o HAMILTON COUNTY AUDITOR'S OFFICE
33 NORTH 9TH STREET, SUITE L21
NOBLESVILLE, IN 46060
PROCEDURE
Humane Society faxes animal count to Auditor's office on 7th of month.
Auditor faxes invoice and animal count to entities on 1 0th of month.
Verify addresses are in your jurisdiction. If stray was not from your jurisdiction, cross out on animal count
sheet. Any stray animal brought in by law officer or resident of that jurisdiction is to be paid for.
Adjust total amount due to reflect changes in jurisdiction.
Send copy of this invoice, animal count sheet payment to:
Hamilton County Treasurer
c/o Hamilton County Auditor's Office
33 North 9th Street, Suite L21
Noblesville, IN 46060
Questions? CaIl 776 -8295
o HUMANE SOCIETY FOR HAMILTON COUNTY, INC. ANIMAL REPORT December, 2009
0
Month: January Year: 2010 Carmel
0o
M Owner Animal
Species First Name Last Name Street Address City State Stray Surrender Control Jurisdiction City
C.0 D 'CPD' 'Hood' 'CARMEL' 'IN' X x 'Carmel Ci
Ln
o 'Caf 'Jayne' 'Enlow' '67 Bennett Road 'CARMEL' 'IN' x 'Cannel C'
0
N
0
'Dog 'Beth Ann' 'Ross' '2841 Jeremy Court 'CARMEL' 'IN' x 'Carmel City'
N
o 'Cat' 'Jod 'Hollett' '1430 131st Street W "CARMEL' 'IN' x 'Carmel Ci
'Cat' 'Kellen' 'Heavin' '654 Waterwood Way 'CARMEL' 'IN' x 'Carmel Ci
Dog' Ter 'East' '12233 Leighton Court 'CARMEL' 'IN' x 'Carmel Ci
Ln
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m 'Dog' 'Mike` 'Averkam '21 Green Court 'CARMEL' 'IN' x 'Carmel Ci
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'Do 'David' 'Vignola' 130 7th Street NE' 'CARMEL' 'IN' x 'Carmel C
'Cat' 'Chris' 'Skidmore' '5237 Westwood Drive 'CARMEL' 'IN' x 'Carmel Ci
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'Cat' 'Chris' 'Skidmore' '5237 Westwood Drive 'CARMEL' 1N' x 'Carmel Ci
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'Cat 'Marcia' 'Bracken' '1912 106 Street E 'CARMEL' 'IN' x 'Carmel Ci
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Cat' 'Marcia' 'Bracken' '1912 106 Street E 'CARMEL' 'IN' 'Owner /Guar(" 'Carmel 'Carmel Ci
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I' Dog' 'CPD' 'Broadnax' CPD 'CARMEL' IN' I x x 'Carmel Ci
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2/3/2010 1
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o HUMANE SOCIETY FOR HAMILTON COUNTY, INC. ANIMAL REPORT December, 2009
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'Do 'Matthew' 'Nelson' '148 Pineview Drive 3' 'CARMEL' 'IN' Ix 'Carmel Ci
ti 'D 'Matthew' 'Nelson' '148 Pineview Drive 3' 'CARMEL' 'IN' x 'Carmel Ci
0
o 'Do Patricia' 'Ha elskam 12965 Canti n Way 'CARMEL' 'IN' x 'Carmel Ci
0
N
'Cat' 'Heidi' 'Roy' '506 Wallbrid a Street 'CARMEL' 'IN' x 'Carmel Ci
0
'Cat' 'Heather 'Hewitt '10618 Lakeshore Driv 'CARMEL' 'IN' x 'Carmel Ci
'Cat' 'Heather 'Hewitt' '10618 Lakeshore Driv 'CARMEL' 'IN' x 'Carmel Ci
'D 'Kim' 'Keck' '12945 Canti n Wa 'CARMEL' 'IN' x 'Carmel Ci
LO
o 'Cat' 'Dorothy' 'Davis' '12674 Cerromar Court 'CARMEL' 'IN' x
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I hereby certify that the address of the person (s) bringing in an animal to the Humane So iety for Hamilton Coun ty, Inc. has been
checked against the Hamilton County Government Property Cards Report.
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2!3!2010 2
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
kH amilton County Treasurer Purchase Order No.
c /o.Hamilton County Auditor's Office
3 3 North 9th Street, Suite L21 Terms
Noblesville, IN 46060
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/4/10 monthl a emt 3,312.54
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
Hamilton County Treasurer IN SUM OF
c/o Hamilton County Auditor's Office
33 North 9th Street, Suite L21
Noblesville, IN 46060
3,312.54
ON ACCOUNT OF APPROPRIATION FOR
police ge f
Board Members
PO# or DEPT, INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 575 3,312.54 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
February 10 20 10
1
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund