219567 04/26/2013 \,f CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
1� ONE CIVIC SQUARE HAMILTON COUNTY RECORDER CHECK AMOUNT: $123.00
CARMEL, INDIANA 46032 CHECK NUMBER: 219564
CHECK DATE: 4/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 123 . 00 RECORDING FEES
Hamilton County Recorder
Mary L. Clark
04/26/2013 09;46:47A Trans #: 000500914
Business Date: 04/26/2013 Rec By: LSH
2013025738 RIGHT WAY 09:46:47A
Subtotal: $23.00
2013025739 RIGHT WAY 09:46:47A
Subtotal: $21.00
2013025740 RIGHT WAY 09:46;47A
Subtotal: $23.010
2013025741 RIGHT WAY 09:46:47A
Subtotal: $25,03
2013025742 ORDINANCE 09:46;47A
Subtotal: $31.00
Receipt Total: $123.00
Paid By Amount Ref #
Check $123.00 0000009564
CITY OF CARMEL
Rcvd From: CITY OF CARMEL
Good Day Sunshine!
-
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
�r Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached 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.
f� ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
c7WqC1,-
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
n U bU 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund