215684 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 00352899 Page 1 of 1
0 ONE CIVIC SQUARE ADRIENNE KEELING
?a CARMEL, INDIANA 46032 C/O DOCS CHECK AMOUNT: $101.00
+«p�. C/O DOGS CHECK NUMBER: 215684
CHECK DATE: 12118/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4340600 101 . 00 RECORDING FEES
Hamilton County Recorder
Mary L. Clark
12/13/2012 10:55:OOA Trans #: 000471666
Business Date: 12/13/2012 Rec By: SAG
2012078073 ORDINANCE 10:55:OOA
Subtotal: $21.00
2012078074 ORDINANCE 10:55:OOA
Subtotal: $21.00
2012078075 ORDINANCE 10:55:00A
Subtotal: $21.00
2012078076 ORDINANCE 10:55:OOA
Subtotal: $21.00
2012078077 MISC 10:55:OOA
Subtotal: $17.00
Receipt Total: $101.00
Paid By Amount Ref #
Check $101.00 0000001225
ADRIENNE FEELING
Rcvd From: ADRIENNE KEELING
Wishing You Peace and Joy!
.mot' .t`: _ �._%_:'._ �__ ;r•xc _ ;�i{{.((
�-r1�;;1.1��,... �..�iYlila-i�lr_ • Lli#i3.:i4/.l
' � n 4� •�, j _ tt
�I�'iy• •( a .... �. ..�
t,'1. �.. ...._tL� i�j
�+ _ ,
c. .
�::.u.. 1 rig
t, t .� .
VOUCHER NO. WARRANT NO.
Adrienne Keeling ALLOWED 20
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$101.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-406.00 $101.00
I hereby certify that the attached invoice(s), or
I I 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
Friday, December 14, 201
J
Directo
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))
12/14/12 Recording Ordinances $101.00
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