HomeMy WebLinkAbout169054 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
ONE CIVIC SQUARE STEVEN R LLOYD CHECK AMOUNT: $1,25D.00
s,z CARMEL, INDIANA 46032 ATTORNEY AT LAW
PO BOX 355 CHECK NUMBER: 169054
WESTFIELD IN 46074
CHECK DATE: 2/17/2009
DEPA ACCOUNT PO NU I NVOICE NUMBER T AMOUNT DESCRIPTION
1301 4341952 14820 1,250.00 PAUPER COUNSEL SERVIC
STEVEN R. LLOYD
ATT IRN,EV AT LAW
l
FEE FOR SERVICES
February 2, 2009
Carmel City Court.
Attn: Kim
One Civic Square
Ca.:..el, IN 4.6032
RE: Monthly Billing Statement
Pauper Clients
Legal Services Rendered from:
February 1, 2009 through February 28, 2009 S 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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
t 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
1 ,��i✓j Purchase Order No.
55 Terms
W Din d Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
O D
Total d U
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
a 7
ON ACCOUNT OF APPROPRIATION FOR
(A', M q-
Board Members
s� O 10� o L� 0 I
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
q 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
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund