216104 01/09/2013 - CITY OF CARMEL, INDIANA VENDOR: 357334 Page 1 of 1
ONE CIVIC SQUARE STEVEN R LLOYD
? CHECK AMOUNT: $1,666.66
CARMEL, INDIANA 46032 ATTORNEY AT LAW
PO BOX 355 CHECK NUMBER: 216104
WESTFIELD IN 46074
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4341952 1/1/2013 394 . 83 PAUPER ATTORNEY FEES
1301 R4341952 27334 1/1/2013 1, 271 . 83 PAUPER CONSEL SERVICE
STEVEN EN p o LLOYD
fl T
A O A x'
ATTORNEY LAW
January 1, 2013
Carmel City Court
Attn:_Diane_ Cl
One Civic Square
Carmel, Indiana 46032
RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
January 1, 2013 through January 31, 2013 $ 1666.66
TOTAL DUE $ 1666.66
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
VOUCHER NO. WARRANT NO.
Steven Lloyd ALLOWED 20
IN SUM OF $
PO Box 355
Westfield, IN 46074
$1,666.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel City Court
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
yr`or Year I hereby certify that the attached invoice(s), or
1301 January 1, 2013 43-419.52 $394.83
F-ncunthered bill(s) is (are) true and correct and that the
27334 January 1, 2013 43-419.52 $1,271.83
materials or services itemized thereon for
which charge is made were ordered and
received except
Fri , J uary 4, 2013
Judge
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))
12/31/12 January 1, 2013 $394.83
01/01/13 January 1, 2013 Pauper Counsel $1,271.83
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