204907 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00352477 Page 1 of 1
ONE CIVIC SQUARE NATIONAL NOTARY ASSOCIATION CHECK AMOUNT: $123.70
CARMEL, INDIANA 46032 9350 DESOTO AVE
PO BOX 2402 CHECK NUMBER: 204907
CHATSWORTH CA 91313 -9965
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4358300 158067962 123.70 OTHER FEES LICENSES
Reference 158067962 192
Bill To: Ship To: Payment Information:
Mandy N. Spady Mandy Spady
1235 Central park Dr E 1235 Central park Dr E December 5, 2011
Carmel, IN 46032 Carmel, IN 46032
317 573 -5235 317- 573 -5235 Remit payment to:
mspady @carmelclayparks.com Processing Center
Shipping Method: UPS PO Box 541032
Los Angeles, CA 90054 -1032
For Fedex, UPS, certified mail, overnight
delivery:
US Bank C/O Lockbox #541032
Attn: Wholesale Lockbox
16420 Valley View Ave
La Mirada, CA 90638
Source Code: REFER CUSTOMER REFERRED TO NNA
Order Details (Member Pricing Applied):
92340960005000 Bond -IN- Merchants $45.00 (MBR) 1 $45,00
1511012 One Year Package Membership $10.00 (MBR) 1 $10.00
05402 Seal -SI Stamp $16.95 (MBR) 1 $16.95 (Y) (Y)
Self- Inking Stamp $20.35 (LIST PRICE)
05350 Softcover Journal $11.95 (MBR) 1 $11.95
$14.35 (LIST PRICE)
15924 National Jurat Affiant $9.95 (MBR) 1 $9.95
New Format $11.95 (LIST PRICE)
25936 Individual Acknowledgement $9.95 (MBR) 1 $9.95
8 1/2 X 11 New Format $11.95 (LIST PRICE)
m.,
07320 Notary Privacy Guard $9.95 (MBR) 1 $9.95
$11.95 (LIST PRICE)
Subotal: $113.75
Shipping (UPS): $9.95
Tax (0): $0.00
Total. $123.70
Naomi Fenig
Customer Service Representative
Toll Free: 1.800.US Notary (1.800.876.6827)
818.739.4000 Ext. 4169 Nfenig(a)nationalnotary.org
www.nationalnotary.org
I R I T
r s
nEC 13 2011
7,.
l
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
National Notary Association Terms
Processing Center
P.O. Box 541032
Los Angeles, CA 90054 -1032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/5/11 158067962 Registration fee for notary public 123.70
Total 123.70
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.
National Notary Association Allowed 20
Processing Center
P.O. Box 541032
Los Angeles, CA 90054 -1032 In Sum of
123.70
ON ACCOUNT OF APPROPRIATION FOR
101 -General
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 158067962 4358300 123.70 1 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
15 -Dec 2011
Signature
123.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund