HomeMy WebLinkAbout198632 06/22/2011 CITY OF CARMEL, INDIANA VENDOR 357334 Page 1 of 1
ONE CIVIC SQUARE STEVEN R LLOYD
j r CHECK AMOUNT: E1,250.00
CARMEL, INDIANA 46032 ao 0%355AT LAW
WESTFIELD IN 46074 CHECK NUMBER: 198632
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 27328 1,250.00 PAUPER CONSEL SERVICE
STEVEN R. LLOYD
ATTORNEY AT LAW
June 3, 2011
Carmel City Court
Attn: Kim
One Civic Square
Carmel, Indiana 46032
RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
May 1, 2011 through May 31, 2011 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)507 -5585 Fax (317)867 -3518
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.
Q 5 lD 7q Terms
o Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/I 1 t (I S7J• dp
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
IN SUM OF
p 7�
5a •06
ON ACCOUNT OF APPROPRIATION FOR
Board Members
0/o4. o (,.0)
Pop or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT p 1 hereby certify that the attached invoice(s), or
�73AY 0.00 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
2
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund