HomeMy WebLinkAbout215703 12/18/2012 - 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: 215703
WESTFIELD IN 46074
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
505 4341952 0104-06-01 21 . 83 PAUPER ATTORNEY FEES
1301 4341952 27334 0104-06-01 1, 228 . 17 PAUPER CONSEL SERVICE
S'I'EVED R. LLOYD
ATTORNEY AT LAW
December 1, 2012
Carmel City Court
Attn:
.._One_Civic,Square
Carmel,Indiana 46032
RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
;December 1, 2012 through December 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
S �y L Lo�j Purchase Order No.
(.� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or to attached invoice(s) or bill(s))
a-
A250-CO
Total Q��
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.
/D ALLOWED 20
�Q IN SUM OF $
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CO
ON ACCOUNT OF APPROPRIATION FOR
Board Members
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PO#or
D PT.# INVOICE NiO.' ACCT#/TITLE AMOUNT I hereby certify that the attached invoice's), or
17 bill(s) is (are) true and correct and that the
S ��•$3 materials or services itemized thereon for
which charge is made were ordered and
received except
20
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Cost distribution ledger classification if
claim paid motor vehicle highway fund