205534 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
ONE CIVIC SQUARE STEVEN R LLOYD
CARMEL, INDIANA 46032 ATTORNEY AT LAW CHECK AMOUNT: $1,250.00
PO Box 355 CHECK NUMBER: 205534
WESTFIELD IN 46074
CHECK DATE: 1/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 27334 1,250.00 PAUPER CONSEL SERVICE
STEVEN R. LLOYD
ATTORNEY AT LAW
January 4, 2012
Carmel City Court
Attn: Kim
One Civic Square
Carmel, Indiana 46032
RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
January 1, 2012 through January 31, 2012 1250.00
TOTAL DUE 1250.00
Tax Identification Number 315 -66 -1433
Please remit payment to P.O. Box 355, Westfield, Indiana 46074.
17408 TILLER CT., SUITE 200, P.O. BOX 355 WESTFIELD, INDIANA 46074 (317)507 -5585 Fax (317)867 -3518
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
2t �"_W 4&= Purchase Order No.
S 5 Terms
U Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
.0U
Total AW 5 Z2 00
1 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
o. 3 sS
�9a5a -ov
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
133 4 �%9 pp 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
l 20
ig t
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund