218134 03/13/2013 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
�.Wit•° PO BOX 355 CHECK NUMBER: 218134
WESTFIELD IN 46074
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 R4341952 26682 MARCH 1, 666 . 66 PAUPER LEGAL FEES
STEVEN R. LLOYD
ATTORNEY AT LAW
March 1, 2013
Carmel City Court
Attn: Diane
—One Civic Square
Carmel, Indiana 46032
RE: Pauper Client Representation
BILLING STATEMENT
Pauper Client Representation from
March 1, 2013 through March 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
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.
Payee ))
Purchase Order No.
CTerms
e S e J I� /y Date Due
Invoice Invoice Description Amount
D to Number (or note attpeped invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
6 �� �5 S�
�SIcZ7y
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
d� DEPT.# I hereby certify that the attached invoice(s), or
(r S (� ,�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
k20
i natur
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund