209562 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350182 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY HUMANE SOCIETY
CARMEL, INDIANA 46032 1721 PLEASANT ST CHECK AMOUNT: $6,327.71
B
SUITE
CHECK NUMBER: 209562
NOBLESVILLE IN 46060
CHECK DATE: 6/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357500 1491 6,327.71 HUMANE SOCIETY SERVIC
Humane Society for Hamilton County
Humane Society for Hamilton County Invoice
1721 Pleasant Street
Suite B E.Invoice
Noblesville, IN 46060 06/01/2012 1491
(317)219 -3523 Terms =Due Date
accounting a ham iltonhumane.com
HUMARSOCITY http: //hamiltonhumane.com Net 15 06/16/2012
for Hamilton County
www.hnmilnnhumnna.com
Their Ou t Ch— buro6 --dCM—
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City of Carmel
City of Carmel Police Department
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
Due' Enclosed kN
$6,327.71
>I-
Please detach top portion and return with your payment
Quan'ttty Rate Amount
v,
•Monthly Hamilton County Stray /Owner Surrender Contract 1 6,327.71 6,327.71
T6tal '$6,327.71
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))
06/01/12 1491 monthly payment $6,327.71
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
Humane Society for Hamilton County
IN SUM OF
1721 Pleasant Street, Suite B
Noblesville, IN 46060
$6,327.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 1491 43- 575.00 $6,327.71 I hereby certify that the attached invoice(s), or
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
Wednesday, May 30, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund