215774 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 362511 Page 1 of 1
ONE CIVIC SQUARE SPRING LAKE ESTATES HOA CHECK AMOUNT: $750.00
CARMEL, INDIANA 46032 PO BOX 1104
o� CARMEL IN 46032 CHECK NUMBER: 215774
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 109 750 . 00 ORGANIZATION & MEMBER
Spring Lake Estates Homeowners Association Invoice
Po Box 1104
IN 46082-1104
Invoice#: 109
Invoice Date: 12/2/2012
Due Date: 1/1/2013
Bill To: Project:
City of Carmel P.O. Number:
Michael McBride
One Civic Square
Carmel, Indiana 46032 ,, r 9
o
Date Description Amount
12/1/2012 Semi-Annual 250.00
12/1/2012 Semi-Annual 250.00
12/1/2012 Semi-Annual 250.00
3 456y8
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0o Total $750.00
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o y Payments/Credits $0.00
R �v�� Balance Due $750.00
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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
Spring Lake Estates Homeowners Association Purchase Order No.
POB 1104 Terms
Indianapolis, IN 46082-1104 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
12/212012 109 2013 hoa fees; spring lake $ 750.00
Total $ 750.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same id accordance
with IC 5-11-10-1.6.
,20
Clerk-Treasurer
VOUCHER NC WARRANT NO.
Spring Lake Estates Homeowners Association ALLOWED 20
POB 1104 IN SUM OF $
Indianapolis, IN 46082-1104
$ 750.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 109 2200-4355300 5 75000 or 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
/Y/�)Z412/20/2012 L /
Sign u &4-K-1AAml �`//-Off bGIJ�Ii�
i i4y-Engin���
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund