HomeMy WebLinkAbout203934 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
ONE CIVIC SQUARE STEVEN R LLOYD
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,250.00
ATTORNEY AT LAW
a PO BOX 355 CHECK NUMBER: 203934
WESTFIELDIN 46074
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 27328 1,250.00 PAUPER CONSEL SERVICE
STEVEN R. LLOYD
ATTORNEY AT LAW
November 1, 2011
Carmel City Court
Attn: Kim
One Civic Square
Carmel, Indiana 46032
RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
November 1, 2011 through November 30, 2011 1250.00
TOTAL DUE 1250.00
Tax Identification Number 315 -66 -1433
Please remit payment to P.O. Box 355, Westfield, Indiana 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 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.
Payee
Purchase Order No.
D Terms
mf4dk' 'J"4 `tom( W Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total v
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
07
M�`� o 0
ON ACCOUNT OF APPROPRIATION FOR
n Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT_ I hereby certify that the attached invoice(s), or
A SD ,Oo bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made wefe ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund