174509 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350194 Page 1 of 1
ONE CIVIC SQUARE STEWART RICHARDSON ASSOCIATES
CARMEL, INDIANA 46032 1700 CAPITAL CENTER CHECK AMOUNT: $338.86
201 N ILLINOIS ST
a CHECK NUMBER: 174509
INDIANAPOLIS IN 46204
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT P NUM BER INVOICE N UMBER AMO DE SCRIPTION
1180 4341999 108876 338.86 OTHER PROFESSIONAL FE
I N V 0 1 C E
LN Invoice No. Invoice Date Job No.
108876 6/11/2009 47399
3 C,W One 3ndiana Square
FS 0 suite 2425 Job Date Case No.
lndianapnlis. IN 46204
317137.3773 6/4/2009
irx uirgtnuPommoi rpier, rrd 2d ;no(
Fox: 317.
Case Name
In Re: The Disciplinary Matter of Michael Flynn
Thomas D. Perkins
CITY OF CARMEL Payment Terms
One Civic Square Due upon receipt
Carmel, IN 46032
ORIGINAL AND 1 CERTIFIED COPY OF TRANSCRIPT OF:
Termination Hearing 338.86 I
TOTAL DUE $338.86
AFTER 7/1/2009 PAY $355.80
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06- 22- 09P05:06 RCVD
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Tax ID: 35- 1381218
Please detach bottom portion and return with payment.
Received
06- 12 09P03:53 RCV
city of carmd
Department of taw
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INDIANA RETAIL TAX EXEMPT PAGE
C i t y o f C anal CERTIFICATE NO.003120155 002 0 lug li PURCHASE ORDER NUMBER
J� FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
SHIP
VENDOR�
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE� DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCO PROJECT PROJECT ACCOUNT AMOUN
99? e PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. r) a
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE i d 1 -4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
i10 CLERK TREASURER
A.A. DOCUMENT CONTROL NO P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.-__^�_
ALLOWED 20
^U� |NTHESUMOF$
ON ACCOUNT OFAPPR�PR|AT|ON FOR
Board Members
ro# or INVOICE NO. ACCT#/TITLE AMOUNT
hereby certify that the attached invoice(s), or
bill(s) is (ane) true and correct and that the
n� a�/r�� i itemized th fo
m or thereon r
which charge io made were ordered and
received except.
20 0
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund