205186 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 117775 Page 1 of 1
ONE CIVIC SQUARE H.J. SPIER CO, INC CHECK AMOUNT: $150.00
o CARMEL, INDIANA 46032 8250 WOODFIELD CROSSING SUITE 330
INDIANAPOLIS IN 46240 CHECK NUMBER: 205186
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4347500 83514 75.00 GENERAL INSURANCE
1301 4347500 83515 75.00 GENERAL INSURANCE
Itm Eff DateTrn Description Amount
INVOICE' 83515
102448 01/01/12 REN 12 -13 POB Bond RotL 75.00
Invoice Balance: 75.00
Effective August 29, 2011
H.J. Spier Co. Inc. has moved to:
8250 Woodfield Crossing Blvd.
Suite 330
Indianapolis, IN 46240
New Phone number 317 815 -2800
info @hjspier.com
NEW ADDRESS:8250 WOODFIELD :ROSSING BI,VD.,SUITE 330
INDIANAPOLIS, IN 46240
Nv w.hjspicrxom
Itm Eff Date Trn Description Amount
]INVOICE 83514
182447 01101112 REN 12 -13 POB Bond Poindexter 75.00
Invoice Balance: 75.00
Effective August 29, 2011
H.J. Spier Co. Inc. has moved to:
8250 Woodfield Crossing Blvd.
Suite 330
Indianapolis, IN 46240
New Phone number 317 -815 -280
info @hjspier.com
NEW ADDRESS:8250 WOODIIELD CROSSING BLVD.,SUITE 330
INDIANAPOLIS, IN 46240
www.hjspier.com
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 /J
2*��
r Purchase Order No.
l of ,44 M Terms
p i
�Q� �i71�.i Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
S op
Total 14 U
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
;milt cry c� a,4-tJv 1
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 o) 5 q 75 "�7 3 0 0 bill(s) is (are) true and correct and that the
30 I Ff 3 57 4 q 7 5 75,E G materials or services itemized thereon for
which charge is made were ordered and
received except
I
I at
Ti
Cost distribution ledger classification if
claim paid motor vehicle highway fund