HomeMy WebLinkAbout211847 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
ONE CIVIC SQUARE STEVEN R LLOYD
s CHECK AMOUNT: $1,250.00
CARMEL, INDIANA 46032 ATTORNEY AT LAW
PO BOX 355 CHECK NUMBER: 211847
WESTFIELDIN 46074
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 27334 1, 250 . 00 PAUPER CONSEL SERVICE
STEVEN R. LLOYD
ATTORNEY AT LAW
August 3, 2012
Carmel City Court
Attn: Kim
One Civic Square -
Carmel, Indiana 46032
RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
August 1, 2012 through August 31, 2012 $ 1250.00
TOTAL DUE $ 1250.00
Tax Identification Number 315-66-1433
Please remit payment to P.O. Box 355, Westfield, Indiana 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)
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.
0 , Terms
' Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
&p�p 0
Total .
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 $
$ - 250
ON ACCOUNT OF APPROPRIATION FOR
L„a OiO�• v6. 01
-0 Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
!j�,00 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 1Z
I
to
Cost distribution ledger classification if
claim paid motor vehicle highway fund