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169110 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 360784 Page 1 of 1 ONE CIVIC SQUARE BRUCE E PETIT CARMEL, INDIANA 46032 P 0 Box 459 CHECK AMOUNT: $950.00 CARMEL IN 46082 -0459 CHECK NUMBER: 16911 CHECK DATE: 211712009 DEPARTMENT ACCOUN P O NUMBER IN N AMOUNT DESCRIPTION 911 4350900 950.00 OTHER CONT SERVICES 'r STATEMENT Bruee Petit PETIT HESS PETIT SLACK ATTORNEYS AT LAW A PROFESSIONAL ASSOCIATION WOODLAND PROFESSIONAL CENTER 2000 EAST 116TH STREET, SUITE 106 POST OFFICE BOX 459 CARMEL, INDIANA 46082 -0459 January 30, 2009 State of Indiana and Fishers Police Department /Hamilton County Drug Task Force vs. Benjamin Lewin and $2,850.00 in U.S. Currency Cause No. 29D01- 0704 -MI- 000445 For Professional Services Rendered $2,850.00 U.S. Currency forfeited One -third contingent attorney fees $950.00 TOTAL DUE $950.00 Please make check payable to Bruce E. Petit. F Prci,crbed 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 ..Q Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /o9,� Total C/)'-O- CD 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 �.Gt,vr a /,v 4ve. a S c� ON ACCOUNT OF APPROPRIATION FOR i c 0069 911 r Board Members PO# or INVO"CE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 9 1 9' 0 0 �}Q 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 20 61 eSignature Cost distribution ledger classification if Title claim paid motor vehicle highway fund H