213553 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
`• ONE CIVIC SQUARE STEVEN R LLOYD CHECK AMOUNT: $1,250.00
CARMEL, INDIANA 46032 ATTORNEY AT LAW
o� PO BOX 355 CHECK NUMBER: 213553
WESTFIELDIN 46074
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 27334 1, 250 . 00 PAUPER CONSEL SERVICE
STEVEN R. LLOYD
ATTORNEY AT LAW
October 1, 2012
Carmel City Court
Attn: Kim
One Civic Square
Carmel,Indiana 46032
j-:RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
October 1, 2012 through October 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.7995)
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
,57 Evg&t LI-0 \1v
Purchase Order No.
_3_55 Terms
W E5-r rnE: � Tj r �� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/o A �/��R COc,INSEL RV, C s 2S0.�
Total f a U•W
1 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 $
oy
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
�a56.t70 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
2
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund