183026 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1
t' ONE CIVIC SQUARE TREASURER OF STATE
1 ri CARMEL, INDIANA 46032 STATE BOARD OF ACCOUNTS CHECK AMOUNT: $9,240.00
302 W WASHINGTON, RM E418
CHECK NUMBER: 183026
INDIANAPOLIS IN 46204
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
101 5023990 30215 4,006.00 BLDG CORP AUDIT
101 5023990 30216 5,234.00 CRA AUDIT
INDIANA STATE BOARD OF ACCOUNTS
INVOICE
CARMEL CIVIC SQUARE BUILDING CORP
C/O DIANA CORDRAY
ONE CIVIC SQUARE
CARMEL IN 46032
Invoice Number: 30215
DISBURSING OFFICER COUNTY BILLING DATE
CARMEL CIVIC SQUARE BUILDING CORP Hamilton 02/18/2010
I.D. Number: 29 045 00
BILLING TRANSACTIONS FOR 01/21/2010 TO 02/18/2010
29 045 00 CARMEL CIVIC SQUARE BUILDING CORPORATION
48824 ANNUAL 2008 BILLING $4,006.00
BALANCE DUE AS OF 02/18/2010 $4,006.00
I hereby certify that the foregoing is a true and correct statement of the
costs of examination and the above designated official is hereby authorized
to issue his warrant without appropriation therefor, payable to the Treasurer
of State of Indiana in payment of the above claim.
State Examiner
For amounts due from taxing units, county auditor will obtain reimbursement
by deduction from the next semi annual settlement of taxes.
PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO
TREASURER OF STATE AND MAIL TO:
State Board of Accounts, 302 West Washington Street, Room E418,
Indianapolis, IN 46204
IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this
invoice, contact Sandy Rasnake at (317) 232 -4964.
INDIANA STATE BOARD OF ACCOUNTS
INVOICE
CARMEL REDEVELOPMENT AUTHORITY
ONE CIVIC SQUARE
CARMEL IN 46032
Invoice Number: 30216
DISBURSING OFFICER COUNTY BILLING DATE
CARMEL REDEVELOPMENT AUTHORITY Hamilton 02/18/2010
I.D. Number: 29 047 00
BILLING TRANSACTIONS FOR 01/21/2010 TO 02/18/2010
29 047 00 CARMEL REDEVELOPMENT AUTHORITY
48825 ANNUAL 2008 BILLING $5,234.00
BALANCE DUE AS OF 02/18/2010 $5,234.00
I hereby certify that the foregoing is a true and correct statement of the
costs of examination and the above designated official is hereby au orized
to issue his warrant without appropriation therefor, paye to Treasurer
of State of Indiana in payment of the above claim.
State.�xaminer
For amounts due from taxing units, county auditor will obtain reimbursement
by deduction from the next semi annual settlement of taxes.
PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO
TREASURER OF STATE AND MAIL TO:
State Board of Accounts, 302 West Washington Street, Room E418,
Indianapolis, IN 46204
IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this
invoice, contact Sandy Rasnake at (317) 232 -4964.
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
R Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)
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
64 12-
(�c 2 IN
ON ACCOUNT OF APPROPRIATION FOR
X10
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
l] 6D bill(s) is (are) true and correct and that the
6 T4,0 materials or services itemized thereon for
which charge is made were ordered and
received except
J 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund