192457 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 119898 Page 1 of 1
0 ONE CIVIC SQUARE HAMILTON COUNTY RECORDER
o CARMEL, INDIANA 46032 HAMILTON COUNTY COURTHOUSE CHECK AMOUNT: $230.00
NOBLESVILLE IN 46060
CHECK NUMBER: 192457
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 124.00 RECORDING FEES
651 5023990 106.00 RECORDING FEES
F.,,m No. ibe 301 -5 St(e Rev Board
1995) Accounts ACCOUNTS PAYABLE VOUCHER
Form 301 1995)
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
1 19
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and corr t and I have audited same in accordance
with IC 5- 11- 10 -1.6.
1 19
f er Title
'`;ner No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ANCT.
CARMEL, INDIANA
Fav r Of
Total Amount of Voucher
Deductions
1. -0
Amount of Warrant
Month of 19
VOUCHER RECORD Not
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
SOYCE FORMS SYSTEMS 1 -800- 382 -8702 325
VOUCHER 103499 WARRANT ALLOWED
119898 IN SUM OF
HAMILTON COUNTY RECORDER
HAMILTON COUNTY COURTHOUSE
NOBLESVILLE, IN 46060
Carmel Water Utility
1
ON ACCOUNT OF APPROPRIATION FOR I
Board members
PO INV ACCT AMOUNT Audit Trail Code
I
120610 01- 6360 -08 $124.00
I
5�
Voucher Total $124.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
119898
HAMILTON COUNTY RECORDER Purchase Order No.
HAMILTON COUNTY COURTHOUSE Terms
NOBLESVILLE, IN 46060 Due Date 12/6/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2010 120610 $124.00
1 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
Date Officer