169103 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00352879 Page 1 of 1
ONE CIVIC SQUARE PAGE, WOLFBERG, WIRTH LLC CHECK AMOUNT: $545.00
CARMEL, INDIANA 46032 5010 E TRINDLE ROAD SUITE 202
oN MECHANICSBURG PA 17050 CHECK NUMBER: 169103
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMB INVOIC NUMBER A MOUNT DESCRIPTION
1120 4357004 12638 ABC3FL3 545.00 REGIS. FEES
l—
'4
Page, Wolfberg Wirth ABC3 INVOICE
5010 E. Trindle Road
Suite 202 Date Invoice
Mechanicsburg, PA 17050
2/3/2009 ABC3PL 3
Bill To
Ship To
Carmel Fire Dept Carmel Fire Dept
Becky Lannan Becky Lannan
Billing dmin Billing Admin
g 2 Civic Square
2 Civic Square Carmel, IN 46032
Carmel, IN 46032
Please be sure to include a copy of this PO Number Terms Due Date
invoice with your payment or invoice
number on your check. Thank you! Net 30 3/5/2009
Quantity Item Code Description Price Each Amount
ABC3 Ft. Laude... ABC3 Ft. Lauderdale 2009 545.00 545.00
Attendee:
Becky Lannan
Phone 717 -691 -0100 Fax 717 -691 -1226 Total Due $545.00
Please make all checks payable to Page, Wolfberg Wirth.
We appreciate your business! www.pwwemslaw.com
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))
ABC3FL3 Regis. Fees $545.00
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 N WARRAN NO.
ALLOWED 20
Paq Wolfberg Wirth, LLC
IN SUM OF
5010 E. Trindle Road, Ste. 202
Mechanicsburg, PA 17050
$545.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12638 ABC3FL3 43- 570.04 $545.00 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
FEB .t 3 2009
G
ti s:
1 4 AJ ,a......
e
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund