216815 01/29/2013 „w CITY OF CARMEL, INDIANA VENDOR: 363900 Page 1 of 1
ONE CIVIC SQUARE OFFICE360 CHECK AMOUNT: $122.70
y,�•?o CARMEL, INDIANA 46032 2002 S EAST STREET SUITE 1
INDIANAPOLIS IN 46225 CHECK NUMBER: 216815
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
502 4341999 M53275 122 .70 OTHER PROFESSIONAL FE
INVOICE
office
Into the Box,Out of the Office invoice# M53275 IIIIIIIIII�IIIIIIIIII�IIIIIIIIIIIIIIIIII
ACCtitxt#::>::::>?:::>>>>:>::; 2039
...................
2002 S. East Street, Suite 1 .. ««; .
Indianapolis, IN 46225 Invoce Date: :: 12-31-2012
(317) 686-5754
Fax: (317) 686-5759
i 1.to Andress:::» ';<> '<>: : ::>:::>
. ......::.::::.:.....::..:::::.....:. ..........
Attn: ACCOUNTS PAYABLE
CITY OF CARMEL, CITY COURT
ONE CIVIC SQUARE
SECOND FLOOR
CARMEL, IN 46032
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Begin.:.Da g..._..: u
Net 15 Days 12-01-2012 12-31-2012 01-15-2013 - -
..............::::.:.: .
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Questions regarding billing should be directed to Amy at 317-686-5754 ext 114. Thank You.
: ;>.: :> .: ...'.:..Z1'J i;`' >;iAm'
Storage Fees 72 .20
Services Performed 50.50
Merchandise Purchased
Sales Tax 0 .00
Total Amount Due $122.70
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Instructions : Please Note Invoice# on your Check Stub or you may
VOUCHER NO. WARRANT NO.
Office 360 ALLOWED 20
IN SUM OF $
2002 S East St Suite 1
Indianapolis, IN 46225
$122.70
ON ACCOUNT OF APPROPRIATION FOR
Iy 06 r
10�./ �tt n!0
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
P;21 I hereby certify that the attached invoice(s), or
M53275 43-419.99 $122.70
�j 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
Jan 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 M53275 $122.70
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