182494 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00352879 Page 1 of 1
ONE CIVIC SQUARE PAGE, WOLFBERG, WIRTH LLC
s. �o CARMEL, INDIANA 46032 5010 E TRINDLE ROAD SUITE 202 CHECK AMOUNT: $540.00
MECHANICSBURG PA 17050 CHECK NUMBER: 182494
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 12738 ABCLV208 540.00 REGISTRATION FEE
Page, Wolfberg Wirth ABC3 INVOICE
5010 E. Trindle Road
Suite 202 Date Invoice
Mechanicsburg, PA 17050 2/3/2010 ABCLV 208
Bill To Ship To
Carmel Fire Dept Carmel Pare Dept
Becky Lannan 13ecky L,annan
2 Square 2 Civic Square
CIVICS
q Carmel. IN 46432
Carmel, IN 46032
Please be sure to include a copy of this PO Number Terms Due Date
invoice with your payment or invoice
number on your check. Thank you! 12738 Net 30 3/5/2010
Quantity Item Code Description Price Each Amount
1
6 ,BC3 Las Vega... ABC3 Las Vegas 2010 540.00 540.00
Phone 717 -691 -0100 Fax 717- 691 -1226 Total Due $540.00
Please make all checks payable to Page, Wolfberg Wirth.
We appreciate your business! www.pwwemslaw.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Page, Nolfberg Wirth, LLC
IN SUM OF
5010 E. Trindle Road, Ste. 202
Mechanicsburg, PA 17050
$540.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
Pa# 1 Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
12738 ABCLV208 43- 570.04 $540.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
EE$ �vsu
r
Fire Chief
Title
Cost distribution ledger classification if
claim Paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ABCLV208 $540.00
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