HomeMy WebLinkAbout201336 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 361041 Page 1 of 1
ONE CIVIC SQUARE LAURA MULLIGAN
i CHECK AMOUNT: $6.12
CARMEL, INDIANA 46032 360 ATHERTON DRIVE
CARMEL IN 46032 CHECK NUMBER: 201336
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1110 4347500 6.12 GENERAL INSURANCE
Mulligan, Laura J
From: customerservice @www.IN.gov
Sent: Thursday, August 25, 2011 7:15 PM
To: Mulligan, Laura J
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 1393992. Please reference this number in any
correspondence regarding your transaction.
Payer Information
LAURA MULLIGAN
360 ATHERTON DR
CARMEL, IN 46032
Phone 317 706 8549
Email lmulligan(@carmel.in.gov
Account Information
4 *6693 exp. 11/11
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.
i
Indiana Payment Portal Page I of I
Your transaction is complete
Your transaction is complete. Print this receipt for your records. Your receipt identification number
is 1393992. Please reference this number in any correspondence regarding your transaction.
Payer Information
LAURA MULLIGAN
1 360 ATHERTON DR
jCARMEL, IN 46032
Phone 317 706 8549
Email Imulligan@carmel.in.gov
Account Information
14***********6693 exp.11/11
Transaction Details
Unit Extended
Description Quantity
Price Price
rice
!Notary Application Fee $5.00 1 $5.00
i
1 1 Instant Access Fee $1.12 1 $1.121 1
;Total: $6.12' 1
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
I Sec of State 800-236-5446 $6.121
LM-
The total amount charged to your credit card is $6.12.
Privacy Statement
https://secure.in.gov/apps/kwikekard/checkout/servlet/receipt?token=AB5D92328B6D2D 1... 8/25/2011
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))
08/25/11 reimburse Laura Mulligan for notary public fee $6.12
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
Laura J. Mulligan
IN SUM OF
360 Atherton Drive
Carmel, IN 46032
$6.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 43- 475.00 $6.12
I hereby certify that the attached invoice(s), or
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, September 02, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund