HomeMy WebLinkAbout199883 08/03/2011 a CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY
CHECK AMOUNT: $84.00
CARMEL, INDIANA 46032 11643 STONEY BAY CIRCLE
CARMEL IN 46033 -9501 CHECK NUMBER: 199883
CHECK DATE: 8/3/2011
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
1701 4340600 84.00 RECORDING FEES
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 352
RECEIPT 106504
HAMILTON COUNTY AUDITOR
/0. 00
FUND
NOBLESVILLE, IN, -20
RECEIVED FROM L� /o. od
THE SUM OF ��1�_ DOLLARS
100
ON ACCOUNT OF
PAID BY: CASH 11 CHECK M.O. AUTHORIZED SIGNATURE
Hamilton County Recorder
Mary L. Clark
08/01/2O11 09:39:8OA Trans N: O00362534
Business Date: 08/011 Rec D LLP
2O11036305 [NCKOACHM[ 09:39:00A
Subtotal: $26.UO
2011036306 EASEMENTS 09:39:U0A
Suhtntal; $22,OO
2011036307 ENCROACHME 09:39:00A
Subtotal: $26.00
Receipt Total: $74.00
Paid By Amount Ref
Check $74.00 OO00004O26
SANDY JOHNSON
Rcvd From: SANDY JOHNSON
Have d day'
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.
Pyee
le
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note a tached invoice(s) 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.
ALLOWED 20
IN SUM OF
v
ON ACCOUNT OF APPROPRIATION FOR
i
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
Sign re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund