192828 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00352301 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY TREASURER CHECK AMOUNT: $8,204.57
CARMEL, INDIANA 46032 COURTHOUSE
33 N 9TH STREET CHECK NUMBER: 192828
NOBLESVILLE IN 46060
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4358000 8,204.57 16- 09- 25- 08 -02- 002.00
Approved by the Department of Local Government Finance, 2009
2408 HAMILTON C NlTY TAX AND ASSESSMENT STATEMENT PLEASE SEE REVERSE SIRE FOR IMPORTANT
INSTRUCTIONS
To pay By Credit Card: Call 1- 888 604 -7888 or visit
www.govpaynow.com
16 -09 -2 5 -O B -02- 002.000
t City Oi Carmel
EV.irer ✓i,::v:; Vii:. E".W
City Of Carmel 1. Have ready: 2. Service fee- You will
Attention: Clerk Treasurer Pay Location Code(PLC) 6500 be charged a small
Attn: Clerk Treasurer Parcel Number (see arrow service fee by the
1 Civic Sq
Carmel, IN 46032 above) credit card processor
Amount (see "Total Due" boxes (based on and in
in bold on the coupons below) addition to "Total Due
Spring/Fall"),
DETACH AND RETURN ONLY THIS PORTION WITH YOUR FALL PAYMENT
H FALL INS AN L.MENT HAMILTON COUNTY TAX STATEMENT
PARCEL -ID 16- 09.25 -08 -02. 002.000 DUE DATE
STATE NUMBER 29.09.25.802. 002.000 -018 1111012010 FALL TAX INSTALLMENT: $0.00
LEGAL DESCR Section :25 Township: 18 Range:3 FALL SPECIAL ASSESSMENT INSTALL:' $0.00
PAID TO DATE FALL: $0.00
Lot/Block/Acreage 1 1 1.65 TOTAL DUE FALL: $0.00
Add 5%
I IIIIII IIiII IIIII11111111i1lIIII 11$ 111111111111111 IE1111111111111111 ih11111111111111 amount penalty after Nov 10th if there is no d¢linquent
16092508020020602' add 10% penalty after Dec 10th
City Of Carmel 2009 pay 2010 TO PAY BY CREDIT CARD, SEE ABOVE
City Of Carmel 16092508020020000000000000005
Attention: Clerk Treasurer
Attn: Clerk Treasurer
1 Civic Sq
Carmel, IN 46032
DETACH AND RETURN ONLY THIS PORTION WITH YOUR SPRING PAYMENT
SPRING INSTAt_LMENT H/l�MILTON COUNTY TAX STAT EIVIEIVT
PARCEL -ID 16.09- 25 -08 -02- 002.000 DUE DATE DELINQUENT TAX AND PENALTIES: $8,204.57
STATE NUMBER 29- 09 -25- 802- 002.000 -018 05110/2010 SPRING TAX INSTALLMENT: $0.00
LEGAL DESCR Section :25 Township: 18 Range:3 SPRING SPECIAL ASSESSMENT TOTAL:' $0.00
PAID TO DATE SPRING: $0.00
LoVBlocklAcreage 1 1.65 TOTAL DUE SPRING: 58,204.57
Add 5% I11111111111IIII111111111111111 Ell 111111111111111111111111111111I E 111111111111111111 I1 amou P enalty after May 10th if there is no delinquent
'16092508020020001' add 10% penalty after June 10th
City Of Carmel 2009 pay 2010 TO PAY BY CREDIT CARD, SEE ABOVE
City Of Carmel 16092508020020000000008204576
Attention: Clerk Treasurer
Attn: Clerk Treasurer
1 Civic Sq
Cannel, IN 46032
Payment by check: (make check payable to "Hamilton County Treasurer'7:
If you want to pay the Spring (A) bill only, detach the "A" payment coupon from the bottom and return (or bring in) along
with your check.
If you want to pay the full year, detach both the "A" payment coupon and the "B" payment coupon from the bottom and
return (or bring in) along with your check.
IF YOU PAY BY MAIL, YOUR CANCELLED CHECK WILL BE YOUR RECEIPT
Hamilton County Treasurers Office
Historic Courthouse 33 N. 9m Street, Suite 112 Noblesville, IN 46060 Telephone; (317) 776 -9620
Hours: 8 4:30 M -F (See website for extended hours during tax season)
Website: www.co.hamilton.in.us (Click on the "Department Directory" tab and then click on "Treasurer's Office
INSTRUCTIONS TO TAXPAYER
Enclosed are your SPRING (A) and FALL (B) tax bills. If your taxes are to be paid by your mortgage company or by
someone other than you, please forward these bills 114TACT them IMMEDIATELY. This is important and your
responsibility. NOTE: FAILURE TO RECEIVE TAX BILLS BY MAIL DOES NOT RELIEVE THE TAXPAYER OF HIS/HER
RESPONSIBILITY FOR PAYMENT AND, IF DELINQUENT, ANY ACCRUED PENALTIES.
Address Changes: Notify Hamilton County Transfer Mapping at (317) 776 -9624.
Omissions or Changes: The Hamilton County Treasurer is not responsible for omissions or changes. EXAMINE EACH BILL TO
ENSURE THAT ALL DESCRIPTIONS ARE CORRECT AND COMPLETE.
Special Assessments: Go to http:llwww.co. hamilton. in. usiapps /reports /getcriteria.asp and enter either your parcel number or
house number to retrieve details on each maintenance drain, weed lien, delinquent sewage, or Barrett lien attached to your
property.
INDIANA RETAIL TAX EXEMPT PAGE
C ity of C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
1 �i�J t fl(
FEDERAL EXCISE TAX EXEMPT
g
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
t SHIP
VENDOR TO
CONFIRMATION' BLANKET CONTRACT PAYMENTTERMS FRE
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
CIO
t
A
°F It W g
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT �y AMOUNT
l� �Q '7 a 1 0 0 PAYMENT �l 9,�
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
l NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE j
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 7 1 4 8 A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE
i
VOUCHER NO. WARRANT NO. i
ALLOWED 20
a'. IN THE SUM OF
Z___ �A
O ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO- ACCT /TITLE AMOUNT
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
Z/ -S materials or services itemized thereon for
which charge is made were ordered and
received except
I
3 20
Signature
igna
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
Hamilton County Treasurer
Purchase Order No.
33 North Ninth Street
Terms
Noblesville, Indiana 46060
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12 -1 -10 Delinquent tax and penalties for Parcel ID $482.62
No. 16- 09- 25- 08 -02- 002.000 per the attached
Hamilton County Tax Stdl.t-,ment
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton County Treasurer IN SUM OF
33 North Ninth Street
Noblesville, Indiana 46060
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -58000 Assessment Fees
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 $482.62 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
2010
nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund