176260 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00353363 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY TREASURER CHECK AMOUNT: $3,179.98
CARMEL, INDIANA 46032 CIO HAMILTON CO AUDITOR
33 N 9TH ST, SUITE L21 CHECK NUMBER: 176260
NOBLESVILLE IN 46060
CHECK DATE: 8/19/2009
DEPARTM ACC OUNT PO NUM BER INVOIC NUM BER AMOUNT DESCRIPTION
X110 4357500 3,179.98 HUMANE SOCIETY SERVIC
FAx TRANSMISSION
HAMILTON COUNTY AUDITOR
33 NORTH 9TH STREET, SUITE L2 I
NOBLESVILLE IN 46060
3 1 7- 776-840 1
FAx: 3 1 7 -776 -8454
To: Date: -C,�
Fax Pages: including this cover sheet.
From: Teressa Meredith
Subject: Stray Animal Invoice
STRAY AN IM L INVOICE
MONTH OF SERVICE e\\L� TOTAL AMOUNT DUE
Billable Strays x $138.26 each
Confirmed Strays x $138.26 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 I Oth of month.
Verify addresses are in your jurisdiction. If stray or owner realease was not from your jurisdiction, cross
out on animal count sheet. Any stray animal or owner release 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
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HUMANE SOCIETY FOR HAMILTON COUNTY, INC. ANIMAL REPORT July, 2009 0
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'Cat' 'Joshua' 'Holt' '403 Stonehed a Drive 'CARMEL' 'IN' 7/25/2009 12:54 x 'Carmel City o
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'Dog' 'Lee' 'Per '302 Hawthorne Drive 'CARMEL' 'IN' 7127/2009 11:23 x 'Carmel Ci
'D 'Adrienne' 'Waikel' '13458 Dumbarton Street 'CARMEL' 'IN' 7/29/2009 16:00 x 'Carmel City
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'Cat' 'CPD' 'Graham' 'CPD CPD 'CARMEL' 'IN' 7/30/2009 13:55 x x 'Carmel Ci
Dog' 'Jordan Lee' 'Crane' '11208 Haverstick Road 'CARMEL' 'IN' 7/30/2009 17:28 x 'Carmel Ci
'Dog' 'Lori' 'Coolidge' 12545 Old Meridian Street 'CARMEL' 'IN' 7/31/2009 16:45 x 'Carmel City
'Cat' 'Maria' 'Pereira' '60 W ilson Drive 'CARMEL' 'IN' 7/31/2009 17:25 x 'Carmel Cityrn
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'Cat' 'Maria' 'Pereira' '60 Wilson Drive 'CARMEL' 'IN' 7/31/2009 17:25 x 'Carmel City'
'Dog' 'Greg' 'Mason' '9820 Chesterton 'INDIANAPOLI 'IN' 7/11/2009 14:42 Ix 'Carmel Cit
'Do Gre 'Mason' '9820 Chesterton 'INDIANAPOLI 'IN' 7/11/2009 14:45 I x 'Carmel Ci
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I hereby certify that the address of the person(s) bringing in an animal to the Humane Society for Hamilton County, Inc. has been
checked against the Hamilton County Government Property Cards Report. iv
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8/10/2009 2
Prbscfibed 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
Hamilton County Auditor Purchase Order No.
33 N. 9th Street, Suite L21 Terms
Noblesville, IN 46060 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/12/09 monthl a ent 3,1 79.98
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
Hamilton County Treasurer
C/o Hamilton County Auditor's Office IN SUM OF
33 N. 9th Street, Suite L21
Noblesville, IN 46060
3,179.98
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 575 3,179.98 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
August 11 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund