178264 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
4y ONE CIVIC SQUARE STEVEN R LLOYD
CARMEL, INDIANA 46032 ATTORNEY AT LAW CHECK AMOUNT: $1,250.00
PO BOX 355 CHECK NUMBER: 178264
WESTFIELD IN 46074
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 14820 1,250.00 PAUPER COUNSEL SERVIC
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STEVEN R. LLOYD
ATTORNEY AT LAW
FEE FOR-SERVICES
October 1, 2009
Carmel City Court
Attn: Kim
One Civic Square
Carmel, IN 46032
RE: Monthly Billing Statement
Pauper Clients
.Legal Services Rendered from:
October 1, 2009 through October 3 1. 2009 1250.00
TOTAL AMOUNT DUE S 1250.00
Tax ID 4 315 -66 -1.433
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 Stale 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
Purchase Order No.
Terms
JWd 4�6 Y Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total /6; 5v vv
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. t _W41RRANT NO.
ALLOWED 2p
IN SUM OF
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1a�. 0
ON ACCOUNT OF APPROPRIATION FOR
/l Board Members
j9/0 Al. lXo U
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
I4vo Sa 41d P 06 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
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Cost distribution ledger classification if 1 le
claim paid motor vehicle highway fund