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207128 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 172400 Page 1 of 1 t ONE CIVIC SQUARE KATZ, SAPPER MILLER ,o. CARMEL, INDIANA 46032 PO BOX 7096 CHECK AMOUNT: $520.00 DEPT 235 CHECK NUMBER: 207128 INDIANAPOLIS IN 46206 -7096 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4341999 329558 175.00 OTHER PROFESSIONAL FE 1160 4341999 330861 345.00 OTHER PROFESSIONAL FE KATZ, S ML DEPARTMENT 235 PO. BOX 7096 INDIANAPOLIS, INDIANA 46206 -7096 (317) 580 -2000 Carmel Civic Square Building Corp. Sharon Kibbe One Civic Square Carmel, IN 46032 Invoice No. 329558 Date 0110512012 Client No. 63051 Please detach and return with payment to the above P.O. Box For professional services rendered in the preparation of the Indiana Business Entity report filed with the Indiana Secretary of State. Current Total 175.00 INVOICE BALANCE DUE UPON RECEIPT OF INVOICES Katz, Sapper Miller, LLP A SERVICE CHARGE IS COMPUTED BY A PERIODIC RATE OF 1'/2% PER MONTHLY BILLING CYCLE WHICH IS AN ANNUAL PERCENTAGE HATE KSM Business Services, Inc. OF 18% APPLIED TO THE PREVIOUS BALANCE AFTER DEDUCTING ALL (317) 580 -2000 PAYMENTS AND CREDITS DURING THE BILLING CYCLE. KATZ SAPPER M I LLE R DEPARTMENT 235 P.O. BOX 7096 INDIANAPOLIS, INDIANA 46206-7096 317.580,2000 Carmel Civic Square Building Corp. Sharon Kibbe One Civic Square Carmel, IN 46032 Invoice No. 330861 Date 0212012012 Client No. 63051 Please detach and return with payment to the above P.O, Box For professional services rendered in preparation of Indiana Form NP-20, Indiana Nonprofit Organization's Annual Report, for calendar year 2011. Current Total 345.00 INVOICE BALANCE DUE UPON RECEIPT OF INVOICES Katz, Sapper Miller, LLP A SERVICE CHARGE IS COMPUTED BY A PERIODIC RATE OF 1'/z% PER MONTHLY BILLING CYCLE WHICH IS AN ANNUAL PERCENTAGE RATE KSM Business Services, Inc. OF 18% APPLIED TO THE PREVIOUS BALANCE AFTER DEDUCTING ALL 317.580.2000 PAYMENTS AND CREDITS DURING THE BILLING CYCLE. VOUCHER NO. WARRANT NO. ALLOWED 20 Katz, Sapper Miller IN SUM OF P. O. Box 7096 Indianapolis, IN 46206 -7096 $520.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1160 329558 43- 419.99 $175.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1160 330861 43- 419.99 $345.00 materials or services itemized thereon for which charge is made were ordered and received except Sunday, March 11, 2012 af Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/05/12 329558 $175.00 02/20/12 330861 $345.00 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