214472 11/13/2012 *� CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
'. ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $26.00
i• �o CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE
CARMEL IN 46033-9501 CHECK NUMBER: 214472
CHECK DATE: 11/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 26 . 00 RECORDING FEES
Hamilton County Recorder
Mary L. Clark
11/08:2012 10:25:48A Trans #: 000463430
Business Date: 11/08/2012" Rec By: DCS
2012069117 ORDINANCE 10:25:47A
Subtotal: $26.00
Receipt Total: $26.00
Paid By Amount Ref #
Check $26.00 0000005277
CLERK TREASURERS OFFICE
Rcvd From: CLERK TREASURERS OFFICE
Have a 0NDERFUL day ! ! !
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.
ayee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
n�1 ALLOWED 20
V — IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
40b Ourdi Qes
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
l �L 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
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund