192493 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
ONE CIVIC SQUARE STEVEN R LLOYD
CARMEL, INDIANA 46032 ATTORNEY AT LAW CHECK AMOUNT: $1,250.00
PO BOX 355 CHECK NUMBER: 192493
WESTFIELDIN 46074
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 21720 1,250.00 PAUPER COUNSEL FEES
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STEVEN R. LLOYD
ATTORNEY AT LAW
December 1, 2010
Carmel City Court
Attn: Kim
One Civic Square
Carmel, Indiana 46032
RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
December 1, 2010 through. December 31, 2010 1250.00
TOTAL. DUE 1250.00
Tax Identification Number 315 -66 -1433
Please remit payment to P.O. Box 355, Westfield, Indiana 46074.
17408 TILLER CT., SUITE 200, P.O. BOX 355 WESTFIELD, INDIANA 46074 (317)508 -5585 Fax (317)867 -3518
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invdice 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.
0. /5 5 Terms
GV,��� a Pct •�Q/n��y Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total op
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
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IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
CO3cc�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
4/aS0• 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
J 20
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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