217409 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 360212 Page 1 of 1
ONE CIVIC SQUARE MATT WORTHLEY CHECK AMOUNT: $48.00
CARMEL, INDIANA 46032 14383 GEORGE COURT
CARMEL IN 46032 CHECK NUMBER: 217409
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 0942 48 . 00 OTHER CONT SERVICES
Hamilton County Recorder
Nary L. Clark
02/04/2013 01:30:24P Trans 0: 000482552
Business Irate: 02/04/2013 Rec By: SAG
2013007279 WARR DEED 01:30:24P
Subtotal: $21.00
2013007280 RELEASE 01:30:24P
Subtotal: $17.00
Receipt Total: $38.00
Paid By Amount Ref #
Cash $40.00
CARMEL REDEVELOPMENT COMMISSION
Cash Back -$2.00
Rcvd From: CARMEL REDEVELOPMENT COMMISSI
ON
Good Day Sunshine!
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.352
RECEIPT
HAMILTON COUNTY AUDITOR 0942
[� FUND
NOBLESVILLE, IN, ' 20
RECEIVED FROM C: $ ho ,
THE SUM OF 0s2�o DOLLARS
100
ON ACCOUNT OF C . I�
PAID BY: YASH ❑ CHECK ❑M.O. AUTHORIZED SIGNATURE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
M ( Payee
1 1 wd_ I Purchase Order No.
57d ��+h ST. , IV Terms
hrm6 �T 46032— Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1-`A-13 V41 4or re (or 'in f ee)
4g ao
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mk4 Vorfh ley IN SUM OF $
571
C�rmel ,�T /V
$
ON ACCOUNT OF APPROPRIATION FOR
ISO( �flvw
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
M42- 4350100 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
2—(I— 20 13
Signature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund