217171 02/13/2013 a° CITY OF CARMEL, INDIANA VENDOR: 00350015 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY PROSECUTOR'S ORECK AMOUNT: $18,964.17
)o CARMEL, INDIANA 46032
N KAREN ON,BOOKKEEPER
0 EH MI EON COUNTY SQUARE# ER
CHECK NUMBER: 217171
NOBLESVLLE
IN 46060
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4110000 2013 17, 616 . 50 FULL TIME REGULAR
1110 4121000 2013 1, 092 . 23 CITY'S SHARE OF FICA
1110 4124000 2013 255 .44 CITY'S SHARE OF MEDIC
Treasurer of Hamilton County INVOICE
Hamilton County Prosecutor's Office
One Hamilton County Square,Suite 134
Noblesville,IN 46060
Phone 317-776-8595 INVOICE#2013
Fax 317-776-8469 DATE:2/8/2013
TO: FOR:
Carmel Police Department Carmel Community Deputy Prosecutor
Attn:Chief Tim Green 2013 Part time salary
3 Civic Square
Carmel,Indiana 46032
DESCRIPTION AMOUNT HAMILTON COUNTY FISHERS TOWN
SHARE I SHARE
Robin Gillman,Carmel Community Deputy Prosecutor 2013 Salary $35,233 $17,616.50 $17,616.50
Social Security 6.2% $2,184.45 $1,092.23 $1,092.23
Medicare 1.45% $510.88 $255.44 $255.44
TOTAL $18,964.17
Make all checks payable to Treasurer of Hamilton County
Mail Payment To:Hamilton County Prosecutor's Office,Attn:Bookkeeper,One Hamilton County Square,Suite 134,Noblesville,IN 46060
This is to attach a collection report along with payment.
THANKYOU
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
i 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.
I
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/08/13 2013 medicare- Robin $255.44
02/08/13 2013 FICA- Robin $1,092.23
02/08/13 2013 salary- Robin $17,616.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton County Prosecutor's Office
Karen Pearson, Bookkeeper
IN SUM OF $
One Hamilton County Square, Suite 134
Noblesville, IN 46060
$18,964.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 2013 41-240.00 $255.44 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 2013 41-210.00 $1,092.23
materials or services itemized thereon for
1110 2013 41-100.00 1 $17,616.50 which charge is made were ordered and
received except
Thursday, February 07, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund