162349 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 00350391 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY AUDITOR
CARMEL, INDIANA 46032 ROBIN AUDITOR'S OFFICE FUND 378 CHECK AMOUNT: $665.00
o ONE HAMILTON COUNTY SQUARE STE 134 CHECK NUMBER: 162349
NOBLESVILLE IN 46060
CHECK DATE: 8/7/2008
DEPAR TMENT ACCOUN PO NUMBER INVO ICE NUM BER T A DESCRI
101 5023990 665.00 COUNTY DEFERRALS
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Jul 1, 2008 11:12 am Gavel Court Management Vers 6.17 Page 30
Selected Accounts Report for DEFERRAL PROGRAM /COUNTY
Court Date by Receipt No. Order 06/01/08 To 06/30/08
Date Batch Case Number y
Munic Part Name Assessed Received Reference Actn
06/05/08 060508 29H010805IF 002007 0001 ISP WAECHTER, KIMBERLY M .00 95.00 RK8101 RECO50042 130
06/05/08 060508 29H010804IF 001414 0001 ISP REEVES, JERRY C .00 95.00 RK6120 RECO50045 130
06/12/08 061208 29H010804IF 001609 0001 CPD FIELDS, SUSAN E
.00 95.00 TC7321 RECO50245 130
06/12/08 061208 29H010805IF 002037 0001 ISP DIXON, JOHN L .00 95.00 TC5519 RECO50247 130
06/23/08 062308 29H010806IF 002349 0001 ISP HENRY, LEISA L .00 95.00 TC2732 RECO50523 130
06/30/08 063008 29H010805IF 002242 0001 ISP ZAHN, NORMAN R
.00 95.00 RK9595 RECO50654 130
06/30/08 063008 29HO10805IF 002203 0001 ISP JANSSEN, ROBERT J
00 95.00 RK1653 RECO50655 130
Total: .00 665.00
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
�(liail2�i��,r� Purchase Order No.
Terms
o� (�OloO Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
c� 3 S" UU
Total UU
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
�o.
(�.0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT 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
20
Signature
e
Cost distribution ledger classification if Ti
claim paid motor vehicle highway fund