193328 12/29/2010 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $27.00
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE
CARMEL IN 46033 -9501 CHECK NUMBER: 193328
CHECK DATE: 12129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 27.00 RECORDING FEES
Hamilton County Recorder
Jennifer J Hayden
12./27/2010 04 :08:40F Trans H. 000322857
Business Date: 12/28/2010 Rec By: TRT
20100 70883 ENCROACHME 04:08:40F
7000
Receipt Total: $27,00
Paid By Amount Ref
Cash $27000
CARMEL CITY TREASURER
Rcvd From: CARMEL CITY TREASURER
Happy New Year!
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
W�l C Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice 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.
JJ ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. a 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
Q 20
IF— 441 4j/
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund