210553 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 362511 Page 1 of 1
ONE CIVIC SQUARE SPRING LAKE ESTATES HOA
s �io CARMEL, INDIANA 46032 PO BOX 1104 CHECK AMOUNT: $690.00
•w:, %r CARMEL IN 46032 CHECK NUMBER: 210553
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4355300 67 690.00 ORGANIZATION MEMBER
Spring Lake Estates Homeowners Association In voice
Po Box 1104
IN 46082 -1104
Invoice 67
Invoice Date: 6/1/2012
Due Date: 6/25/2012
Bill To: Project:
City of Carmel P.O. Number:
Michael McBride
One Civic Square
Carmel, Indiana 46032
Date Description Amount
6/1/2012 Homeowner Association Dues 11 LO 230.00
6/1/2012 Homeowner Association Dues -t# 2$ t.c' t 230.00
6/1/2012 Homeowner Association Dues if 2ci Lv i' 230.00
Q
D JUL 0 2 2012
ay
Total $690.00
Payments /Credits $0.00
Balance Due $690.00
VOUCHER NO. WARRANT NO.
Spring Lake Estates ALLOWED 20
IN SUM OF
9111 Crawfordsville Road
Indianapolis, IN 46234
$690.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 67 43- 553.00 $690.00 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, June 27, 2012
Director, Administrate n
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))
06/01/12 67 $690.00
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