165855 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
ONE CIVIC SQUARE STEVEN R LLOYD CHECK AMOUNT: $1,250.00
CARMEL, INDIANA 46032 ATTORNEY AT LAW
PO BOX 355 CHECK NUMBER: 165855
WESTFIELDIN 46074
CHECK DATE: 11/12/2008
D EPARTMENT A PO NUMBER INVOICE N UMBER AMO UNT DESCRIPTION
'1301 4341952 14807 1,250.00 PAUPER COUNSEL SERVIC
STEVEN R. LLOYD
ATTORNEY AT LAW
FEE FOR SERVICES
November 1, 2008
Carmel City Court
Attn: Kim
One Civic Square
Carmel, IN 46032
RE: Monthly Billing Statement
Pauper Clients
Legal Services Rendered from:
November 1, 2008 through November 30, 2008 1250.00
TOTAL AMOUNT DUE 1250.00
Tax ID 315 -66 -1433
Please remit to: Steven R. Lloyd, Attorney at Law, P.O. Box 355, Westfield, IN 46074.
17408 TILLER CT., SUITE 200, P.O. BOX 355 WESTFIELD, INDIANA 46074 (317)507 -5585 Fax (317)867 -3518
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.
U /-t 355 Terms
7 4 7L( Date Due
Invoice Invoice Description Amount
Date Number (or note attached 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
4— ,4 IN SUM OF
.uC�
ON ACCOUNT OF APPROPRIATION FOR
m4- ®C of 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
L. 20 bg
4SigturEe
Cost distribution ledger classification if
claim paid motor vehicle highway fund