200989 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 00350010 Page 1 of 1
ONE CIVIC SQUARE TERESA RICKARD
CARMEL, INDIANA 46032 11204 ARBORWOOD TRAIL
CHECK AMOUNT: $6.12
CARMEL IN 46032
CHECK NUMBER: 200989
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4347500 6.12 GENERAL INSURANCE
Rickard, Teressa D
From: customerservice @www.IN.gov
Sent: Thursday, August 25, 2011 10:29 AM
To: Rickard, Teressa D
Subject: SOS Notary and Renewal receipt
Thank you for using the SOS Notary and Renewal online at www.IN.gov Your transaction is
complete. Your receipt identification number is 1384985. Please reference this number in any
correspondence regarding your transaction.
Payer Information:
TERESSA RICKARD
11204 ARBORWOOD TRAIL
CARMEL, IN 4 603 2
Phone 317 575 9049
Email: trickard @carmel.in.gov
Account Information:
Yo'cxYcYrn'cYCY;x4ia"'-' exp. qWW
Transaction Details
Description Unit Price Quantity Extended Price
Notary Application Fee$ 5.00 1 5.00
Instant Access Fee $1.12 1 $1.12
Total :$6.12
The following amounts have been charged to your credit card. Your credit card statement will show
the following merchant name(s) and amount(s) for this transaction.
Merchant Amount
IN Sec of State 800 -236 -5446 $6.12
The total amount charged to your credit card is $6.12.
1
inc Tana rayment rortat Fage t of 1
Your transaction is complete
Your transaction is complete. Print this receipt for your records. Your receipt identification number
is 1384985. Please reference this number in any correspondence regarding your transaction.
Payer Information.?
TERESSA RICKARD
11204 ARBORWOOD TRAIL
CARMEL, IN 46032
Phone 317 575 9049
iEmail trickard @carmel.in.gov
Account Information
exp.
Transaction Details
Description Unit Quantity xtended
Price y Price
Notary Application Fee $5.00 1 $5.00
Instant Access Fee $1.12 1 $1.12
Tota 1 $6.12
The following amounts have been charged to your credit card. Your credit card statement will show
the following merchant name(s) and amount(s)_for this transaction.
Merchant Amount
IN Sec of State 800- 236 -5446 $6.12
The total amount charged to your credit card is $6.12.
Privacy Statement
https:Hsecure.in.gov/ apps /kwikekard/ checkout /servlet/perfonnTransaction 8/25/2011
Rickard, Teressa D
From: customerservice@www.IN.gov
Sent: Thursday, August 25, 2011 10:29 AM
To: Rickard, Teressa D
Subject: SOS Notary and Renewal receipt
Thank you for using the SOS Notary and Renewal online at www.IN.gov Your transaction is
complete. Your receipt identification number is 1384985. Please reference this number in any
correspondence regarding your transaction.
Payer Information:
TERESSA RICKARD
11204 ARBORWOOD TRAIL
CARMEL, IN 46032
Phone: 317 575 9049
Email: trickard@carmel.in.gov
Account Information:
1'1**s;****4 J exp. OMW
Transaction Details
Description Unit Price Quantity Extended Price
Notary Application Fee$ 5.00 1 5.00
Instant Access Fee $1.12 1 $1.12
Total :$6.12
The following amounts have been charged to your credit card. Your credit card statement will show
the following merchant name(s) and amount(s) for this transaction.
Merchant Amount
IN Sec of State 800 -236 -5446 $6.12
The total amount charged to your credit card is $6.12.
1
Indiana Payment Portal Page 1 of l
Your transaction is complete
I
Your transaction is complete. Print this receipt for your records. Your receipt identification number
j is 1384985. Please reference this number in any correspondence regarding your transaction.
Payer Information
TERESSA RICKARD
I
11204 ARBORWOOD TRAIL
ICARMEL, IN 46032
I Phone 317 575 9049
Email trickard @carmel.in.gov
Account Information?
exp.04 /13
Transaction Details
I Unit Extended
Description Price Quantity price
j I F
INotary Application Fee $5.00 1 $5.00
Instant Access Fee $1.12 1 $1.121
T otal: $6.12
I
i
f
j The following amounts have been charged to your credit card. Your credit card statement will show
the following merchant name and amount(s) for this transaction.
Merchant Amount
1 IN Sec of St ate 800 -23 -54 $6.12j j
a
The total amount charged to your credit card is $6.12.
Privacy statement
https:Hsecure.in.gov/ apps /kwikekard/ checkout /servtet/performTransaction 8/25/2011
VOUCHER NO. WARRANT NO.
ALLOWED 20
Teressa D. Rickard
IN SUM OF
11204 Arborwood Trail
Carmel, IN 46032
$6.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO, ACCT #fTITLE AMOUNT Board Members
1110 43- 475.00 $6_.12
hereby certify that the attached invoice(s), or
I I I
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
Friday, August 26, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08126/11 reimburse Teressa Rickard for notary public fee $6.12
1 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