205484 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00353363 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY TREASURER -CPD
CARMEL, INDIANA 46032 CIO HAMILTON CO AUDITOR CHECK AMOUNT: $3,304.14
33 N 9TH ST, SUITE L21
CHECK NUMBER: 205484
NOBLESVILLE IN 46060
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357500 3,304.14 HUMANE SOCIETY SERVIC
FAx TRANSMISSION
HAMILTON COUNTY AUDITOR
33 NORTH 9TH STREET, SUITE L2 1
NOBLESVILLE, IN 46060
31 7- 776 -8295 MERESSn?
FAX: 3 1 7-776 -8454
To: Date:
Pages: including this cover sheet.
From:
Subject: Stray Animal Invoice
STRAY ANIMAL INVOICE
MONTH OF SERVIC r rA TOTAL AMOUNT DUE
Billable Strays x S 157.74 each L
Confinned Strays x S 157.74 each
TOTAL AMOUNT PAID
Payment due upon receipt of invoice.
Please return invoice, a copy of the animal count along with your check made payable to:
HAMILTON COUNTY TREASURER
c/o HAMILTON COUNTY AUDITOR'S OFFICE
33 NORTH 9TH STREET, SUITE L21
NOBLESVILLE, IN' 46060
PROCEDURE
Humane Society faxes animal count to Auditor's office on 7th of month.
Auditor faxes invoice and animal count to entities on 10th of month.
Verify addresses are in your jurisdiction. If stray was not from your jurisdiction, cross out on animal count
sheet. Any stray animal brought in by law officer or resident of that jurisdiction is to be paid for.
Adjust total amount due to reflect changes in jurisdiction.
Send copy of this invoice, animal count sheet payment to:
Hamilton County Treasurer
c/o Hamilton County Auditor's Office
33 North 9th Street, Suite L21
Noblesville, IN 46060
Questions? Call 776 -8295
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))
01/03/12 stray animals $3,304.14
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
Hamilton County Treasurer
c/o Hamilton County Auditor's Office
IN SUM OF
33 North 9th Street, Suite L21
Noblesville, IN 46060
$3,304.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 575.00 $3,304.14 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
Thursday, January 12, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund