179301 11/11/2009 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: 179301
WESTFIELDIN 46074
CHECK DATE: 11/11/2009
EPARTMENT ACCOUN PO NUMBER INVOICE NUMBER A DESCRIPTION
1301 4341952 14820 1,250.00 PAUPER COUNSEL SERVIC
SI' EN R. LLOYD
ATTORNEY AT LAW
FEE FOR SERVICES
2009
Camel City Court
Attn: Kim
One Civic Square
Carmel, Ilv 46032
RE: Monthly Billing Statement
Pauper Clients
Legal Services Rendered from:
November 1, 2009 through November 30, 2009 1250.00
TOTAL AMOUNT DUE 1250.00
Tax ID 315 -66 -1433
Please remit to: Steven R. Lloyd, Attorney at Law, P.O. Box 355, Westfield, IN 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 City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
r
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
�OL Purchase Order No.
�SS Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
o D9 50.06
Total v
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Lzt4,11 /0 .�Cv
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEEPT. I hereby certify that the attached invoice(s), or
o 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
SJ�
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund