HomeMy WebLinkAbout213483 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 120301 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY TREASURER
CARMEL, INDIANA 46032 C/O HAMILTON CO AUDITOR CHECK AMOUNT: $14,604.30
1 HAMILTON COUNTY SQUARE
NOBLESVILLE IN 46060 CHECK NUMBER: 213483
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 14, 604 . 30 OTHER EXPENSES
PRESCRIBED BY STATE BOARD OF ACCOUNTS CITY AND TOWN FORM 217 CT(1997)
REPORT TO COUNTY AUDITOR OF COURT COSTS
COLLECTED IN CITY/TOWN COURT
To the Auditor of Hamilton County, Indiana
1, Diana L. Cordray, City Officer of the City of Carmel, Indiana, , hereby certify that I have received
the following amounts of the court costs payable to the County:
For the month ending September 30, 2012.
ITEMIZATION COLLECTIONS PRIOR YEAR TO DATE
THIS PERIOD COLLECTIONS
COURT COSTS: $ 14,604.30 120,511.78 135,116.08
TOTAL AMOUNT COLLECTED
$ 146,04.30 120,511.78 135,116.08
Dated l�U r�/� , 2012.
City Fiscal Officer
NOTE—Mail To:
Hamilton County Auditor
One Hamilton County Square
Noblesville, IN 46060
(Make check payable to Hamilton County Treasurer)
..: ._ .�L:..r= .aed"`'i - _. ,.� ...-. •3-ro�s .: x _. ,. � •C, "'..:. - ±? .'7.', .> at ii �
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.
Terms
Date Due
Invoice Invoice -Description Amount
Date Number (or note attached invoice(s) or bill(s))
3
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.
A n n ALLOWED 20
IN SUM OF $
�( 20
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
,67-3ggD 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
F 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund