193032 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 364988 Page 1 of 1
s ONE CIVIC SQUARE BAYNES REPORTING SERVICE CHECK AMOUNT: $259.50
CARMEL, INDIANA 46032 PO BOX 20610
INDIANAPOLIS IN 46220 CHECK NUMBER: 193032
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CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
802 4340000 12196 259.50 LEGAL FEES
Baynes Reporting Service
P.O. BOX 20610
INDIANAPOLIS, IN 46220 sl apZ
Phone: (317) 755 -3320 Reporting Servfrce
Fax: (317) 755 -3326
BRUCE KNOTT I nvoice #121
CITY OF CARMEL FIRE DEPARTMENT PENSION FUND
2 CIVIC SQUARE .Terms
CARMEL, IN 46032
12/03/2010 DUE UPON RECEIPT
4ssi nment= Gase
11/09/2010 Pile- NumberShi e'tl�- Slii ed Via
PENSION BOARD }TEARING DISABILITY FUNDS 7811 11/18/2010 WWE
'Description
Original Transcript of ROGER KILBURN
Amount Due: 259.50
Paid: 0.00
.:Balance Due: 259.50
INVOICES ARE DUE UPON RECEIPT AND ARE NOT Paymerst Due:; Upon Receipt
CONTINGENT UPON CLIENT PAYMENT.
Amount Due after 30 days with interest of 1.5 %0: 263.39
FEDERAL IDENTIFICATION NO. 35-1883473
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Baynes Reporting Service
IN SUM OF
P.O. Box 20610
Indianapolis, IN 46220
$259.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
12196 p G $259.50 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
11a
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))
12196 $259.50
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