216061 01/09/2013 �« CITY OF CARMEL, INDIANA VENDOR: 00350182 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY HUMANE SOCIETY
f�,o CARMEL, INDIANA 46032 1721 PLEASANT ST CHECK AMOUNT: $5,004.54
.s� SUITE B CHECK NUMBER: 216061
NOBLESVILLE IN 46060
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357500 1603 5, 004 . 54 HUMANE SOCIETY SERVIC
Humane Society for Hamilton County Invoke
1721 Pleasant St., Ste B Date Invoice#
Noblesville, IN 46060
I/1/2013 1603
Bill To Ship To
City of Cannel City of Carmel
City of Cannel Police Department
ATTN:Teresa Anderson
3 Civic Square
Carmel,IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 15 1/1/2013
Quantity Item Code Description Price Each Amount
I Contract Cannel Monthly Hamilton County Stray/Owner Surrender Contract 5,004.54 5,004.54
Total $5,004.54
VOUCHER NO. WARRANT NO,
ALLOWED 20
Humane Society for Hamilton County
IN SUM OF $
1721 Pleasant Street, Suite B
Noblesville, IN 46060
$5,004.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 1603 I 43-575.00 I $5,004.54 1 hereby certify that the attached invoice(s), 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
Thursday, January 03, 2013
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))
01/01/13 1603 monthly payment $5,004.54
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