155747 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 120302 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY TREASURER
CARMEL, INDIANA 46032 1 HAMILTON COUNTY SQUARE CHECK AMOUNT: $3,621.12
NOBLESVILLE IN 46060 CHECK NUMBER: 155747
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4357500 17300 3,621.12 STRAY.ANIMALS
I
01/64/2008 19:26 3177768454 HAMILTON COUNTY AUD PAGE 01
FAX TRANSMISSION
ILaMIL COUNTY AUDITOR
33 NORTH 9TH STREET. SUITE L21
No6LESVILLM, IN 46080
3 1 7-776 -840 1
FAX: 3 1 7 776-8454
To: Date:
Fax -ate a Pages: including this cover sheet.
From: Teressa Meredith.
Subject: Stray Animal Invoice
I
STRAY ANIMAL INVOICE
MONT14 OF SERVICE TOTAL AMOUNT DUE
Billable Strays x $157.44 each �a
Confirmed Strays x $157.44 each= z
TOTAL AMOUNT PAID 3
Payment due upon receipt of invoice.
Please return invoice, a copy of the animal count along with your check made payable to:
HAMILTON COUNTY TREASURER
c/o HAMILTON COUNTY AUDITOR.'S OFFICE
33 NORTH. 9TH STREET, SUITE L21
NOBLESVILLE. IN 46060
nI
Humane Society faxes animal count to Auditor's office on 7tht of month.
Auditor faxes invoice and animal count to entities on 10th of month.
Verify addresses are in your jurisdiction. If stray or owner releease was not from your jurisdiction, cross
out on animal count sheet_ Any stray animal or owner release brought in by law officer or resident of
that,jurisdiction is to be paid for.
Adjust total amount due to reflect changes in jurisdiction.
Send copy of this invoice, animal count sheet payment to;
Hamilton. County Treasurer
c/o Hamilton County Auditor's Office
33 North 9th Street, Suitc L21
Noblesville, IN 46060
Questions? Call 776 -8295
HUMANE SOCIETY FOR HAMILTON COUNTY, INC. ANIMAL REPORT
N
CS)
w Month: December Year: 2007 Jurisdiction: Carmel
a Owner Animal
CL
Species First Name Last Name Street Address city State Date Stray Release Control Jurisdiction City
'Cat' 'Natalie' 'Bell' '511 Ran eline Road N 'CARMEL' 'IN' 121112007 13:36 X 'Carmel C
'Dog' 'Kris 'Page' '13885 Adios Pass 'CARMEL' 'IN' 12/1/2007 14,07 X 'Carmel C
'Cat' 'Judy 'Gorecki' '1990 Stanhope Street 'CARMEL' 'IN' 12/2/2007 15:52 X 'Carmel C
'Cat' 'Judy 'Gorecki' '1990 Stanhope Street 'CARMEL' 'IN' 1212!2007 15:57 X 'Cannel Ci
'Cat' 'Robert' 'Kincaid' '5916 Fife Trail 'CARMEL' 'IN' 12/3/2007 9:22 X 'Carmel City
Q 'Cat' 'Tani S 'Rose' 1 5911 Silas Moffitt Way 'CARMEL' 'IN' 1213/2007 15 :21 X 'Carmel Ci
'Dog' 'Kathy 'Clark' '12519 Sandstone Run 'CARMEL' 'IN' 12/6/2007 10:52 X 'Carmel C
z 'Cat' 'Irma' 'Neil '3008 Woodsprin Drive 'CARMEL' 'IN' 12/612007 12:23 X 'Carmel Ci
D
'Cal' 'CPD' 'Graham' 'CPD CPd 'CARMEL' 'IN' 12/1112007 13:22 X X 'Carmel Ci
o 'Dog' 'James' 'Blatt' '12853 Tradd Street 16' 'CARMEL' 'IN' 12/13/2007 10:51 X 'Carmel Ci
Dog' 'James' 'Blatt' 12853 Tradd Street I B' 'CARMEL' 'IN' 12113/2007 10:51 X 'Carmel C ftY
H
'Dog' 'Dawn' 'Broomfield' '437 Emerson Avenue 'CARMEL' 'IN' 12113!2007 13:50 X 'Carmel Ci
'Cat' Trace 'Koehler '1020 Woodridge 'CARMEL' 'IN' 12/13/2007 16A3 X 'Carmel Ci
'Cat' 'Kris 'Poulos' '13146 Aquamarine Drive 'CARMEL' 'IN' 12118/2007 16:50 X 'Cannel C'
'Cat' 'Kris 'Poulos' '13146 Aquamarine Drive 'CARMEL' 'IN' 12/18/2007 16:58 X 'Carmel City
'Do q' 'Elizabeth' 'Roe' '515 Twin Oaks Drive 'CARMEL' 'IN' 12/1812007 17.46 X 'Carmel C'
'Dog' 'Elizabeth' 'Roe' '515 Twin Oaks Drive 'CARMEL' 'IN' 12/1812007 17 :53 X 'Carmel Ci
'Dog' 'Abigail' pelt' '795 Wedgewood Lane 'CARMEL' 'IN' 1 2/1 812007 8:38 X 'Carmel City
'Dog' 'Carolyn' 'Kirby' '5831 North Wood Drive 'CARMEL' 'IN' 12/21/2007 11:28 X 'Carmel Ci
`Do., 'Geor e' 'Nassar' '3714 Brian Place 'CARMEL' 'IN' 1212912007 15:57 X 'Cannel City
'Car 'John' 'Walker' '5853 Stone Pine Trail 'CARMEL' 'IN' 12/29/2007 16:33 X 'Carmel Ci
r
'Cat' 'B.' 'L ie' CPD CARMEL' 'IN' 12/31/2007 10, 37 X X Carmel City
M 'Cat' 'Joan' 'Denne '6 Druid Hill Court 'CARMEL' 'IN' 12/31/2007 15:46 X 'Carmel Ci
23
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hereby certify that the address of the person(s) bringing in an animal to the Humane Society for Hamilton County, Inc. has been
checked against the Hamilton County Government Property Cards Report_
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1 /4/2008 1
City Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
;O:f JE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, All
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION SHIP
VENDOR 1rn 1 ::.�r� ";,ti �t: TO
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ONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
7 7 47.0
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. "s 7 1 I f) DEPARTMENT COPY
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
Hamilton County .Treasurer Purchase Order No. 17300RP
c/o Hamilton County Auditor's Office Terms
33 N. 9th Street, Suite L21
Noblesville, IN 46060 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/4108 montbly payment 2
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
�amilton County Treasurer IN SUM OF
c/o Hamilton County Auditor's Office
33 N. 9th street, Suite L21
Noblesville, TN 46060
3,621-12
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1730ORP 575 12 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
Jantiary 15 20 (1R
Signature
CHief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund