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156960 03/05/2008 f CITY OF CARMEL, INDIANA VENDOR: 360917 Page 1 of 1 ONE CIVIC SQUARE TERESA ANDERSON CHECK AMOUNT: $5.00 CARMEL, INDIANA 46032 14961 REDCLIFF DRIVE NOBLESVILLE IN 46062 CHECK NUMBER: 156960 CHECK DATE: 3/5/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION '1110 4347500 5.00 NOTARY ME -KO STEPHEN R'q��11D� TERESq K A s 1'4961 REDCLEIFF D 4 r F Y n R NOBLESI/ILLEIN 4 Ai 5 f bs r k a o z7 s f (317) 566' 065 f f l i ��y� P mr`'� A v}au���✓� �r��� t iM:.�".+ $5 x4r "°h`� v ;`r 1 a 'Ea d# y a•� �L n C "��;j/ /J at7.v� r r3,�t .,z• y`'�3� n �"c�- S.. y dd.f u R 9{ tl L3 M V y k g14 y ���v 4* d, L i .�s ef+'� Xx P FORUM r CREDIT ON a 5� y d P +rw3;cr. ;Y a °—,2 MINI P.O BOX 50738 Yx� v y y k�. uro h uE o a INDIANAPOLIS "r+ 3: a�•�%l s �ru v .r I •fi ,For.. v� g }N 2005 Viacom InternaVOMI Inc. All Rght..Reseryed. Created b tep Hillenburg 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 Teresa K. Anderson Purchase Order No. 14961 Redcliff Drive Terms Noblesville, IN 46062 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/27/08 reimburse Teresa Anderson for notary public fee 5.00 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. ALLOWED 20 T eresa K. Anderson IN SUM OF 14961 Redcliff Drive Noblesville, IN 46062 5.00 ON ACCOUNT OF APPROPRIATION FOR p olice general ufnd Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 475 5.00 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 February 28 2008 Signature Chief Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund