168321 02/03/2009 CITY OF CARMEL, INDIANA VENDOR: 279200 Page 1 of 1
4 ONE CIVIC SQUARE INDIANA SECRETARY OF STATE
,r° CARMEL, INDIANA 46032 NOTARY DEPARTMENT CHECK AMOUNT: $5.00
`o ROOM 201, STATE HOUSE CHECK NUMBER: 168321
INDIANAPOLIS IN 46204
CHECK DATE: 2/3/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4347500 5.00 NOTARY -DAVIS
FW: Notary Application Page 1 of 1
Davis, Ann
From: Sue Morlock [Sue.Morlock @Hylant.com]
Sent: Thursday, January 29, 2009 9:46 AM
To: Davis, Ann
Subject: FW: Notary Application
Ann
Per our phone conversation, attached is the notary application.
<<notary app_200901 21 1 241 54.pdf>>
Please complete items #1 through #8 and sign on items #9 and #10. A notary public needs to complete items #9 and #11.
PlAasejBbim the completed application along with a 5.00 check payable nd$50.=check ble
o Hylant Group nd return to my attention.
Thank you,
Sue Morlock
817 -5162
Notice: The contents of this communication are privileged and confidential. If you are not the intended recipient of this
transmission, you are hereby notified that distributing, copying, or disclosing this communication, or reliance on the
contents thereof, are strictly prohibited. If you have received this communication in error, please notify the sender
immediately, then destroy the original and all copies thereof.
1/29/2009
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 c-�j'
�l v Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) r
Total
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 O F
fr
ON ACCOUNT OF APPROPRIATION FOR
0 r -4�- 4 �g
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I 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
A. 0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund