156653 02/21/2008 �"q f CITY OF CARMEL, INDIANA VENDOR: 279200 Page 1 of 1
ONE CIVIC SQUARE INDIANA SECRETARY OF STATE CHECK AMOUNT: $5.00
CARMEL, INDIANA 46032 NOTARY DEPARTMENT
ROOM 201, STATEHOUSE CHECK NUMBER: 156653
INDIANAPOLIS IN 46204
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4358300 1 5.00 NOTARY
i
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.
Notary Department, Secretary of State
Purchase Order No.
Room 201, State House
Terms
Indianapolis, Indiana 46204
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 -15 -08 Revised Notary Commission for A. Elaine Bass per the 5.00
attached pp ica ion For Revised Or Duplicate
1 1101011- eommission"
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Notary Department, Secretary of State IN SUM OF
Room 201, State House
In d i anapo li s, Indiana 46204
$5.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -58300 Other Fees and Licenses
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 0 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
nature
Cost distribution ledger classification if
itle
claim paid motor vehicle highway fund