213940 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00350182 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY HUMANE SOCIETY
CHECK AMOUNT: $6,327.71
CARMEL, INDIANA 46032 1721 PLEASANT ST
SUITE B CHECK NUMBER: 213940
NOBLESVILLE IN 46060
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357500 1499 6, 327 . 71 HUMANE SOCIETY SERVIC
Humane Society for Hamilton County
Humane Society for Hamilton County Invoice
1721 Pleasant Street
Suite B
a
Noblesville,IN 46060 11/01/2012 1499
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(317)219-3523 Date
accounting@hamiltonhumane.com Net 15 11/16/2012
HUMANISOCITY http://hamiltonhumane.com
for Hamilton County
www.hami,bnhumana can
Theft n-t Ch—he u S—d Chet—
City of Carmel
City of Carmel Police Department
ATTN:Teresa Anderson
3 Civic Square
Carmel,IN 46032
$6,327.711
--------->-c---Please detach top portion and return with your payment. --------------------------------------------
•Monthly Hamilton County Stray/Owner Surrender Contract 1 6,327.71 6,327.71
Pm""3� Lt-$6;327
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 1499 43-575.00 $6,327.71
I hereby certify that the attached invoice(s), or
I _
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
Thursday, October 18, 2012
Chief of Police
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))
11/01/12 1499 monthly payment $6,327.71
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