220819 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 366267 Page 1 of 1
ONE CIVIC SQUARE ASHLEY ULBRICHT
CARMEL, INDIANA 46032 433 AUTUMN DRIVE CHECK AMOUNT: $7.14
?� CARMEL IN 46032 CHECK NUMBER: 220819
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4239099 7 . 14 OTHER MISCELLANOUS
Ulbricht, Ashley M
From: Ulbricht, Ashley M
Sent: Monday, December 31, 2012 3:46 PM
To: Kibbe, Sharon
Cc: ashley.ulbricht @gmaiI.com
Subject: FW: SOS Bus. Entity Report Receipt
Sharon,
I hope you had a wonderful Christmas and have nice plans for the evening. I wanted you to know I filed the business
entity report for the Carmel Civic Square Building Corporation. I used by personal credit card for the transaction (see
below). It is only$7.16 so I am not worried if I am not reimbursed, however, I wanted to ask if it would be possible for
the reimbursement. If so,who would reimburse me for the transaction?
See you soon,
Ashley
From: webmaster @www.IN.gov [ma i Ito:webmaster(a)www.IN.gov]
Sent: Monday, December 31, 2012 3:42 PM
To: Ulbricht, Ashley M
Subject: SOS Bus. Entity Report Receipt
Thank you for using the IN.gov online services.
This is to confirm your transaction in the amount of$7.14 for a SOS Bus. Entity Report-CC on 12/31/2012
15:42:01 EST. Your credit card statement will identify the charge as "ACCESS IND/CIVIC NET PAYMENT
ALOR IN".
If you have any questions about this receipt, contact the IN.gov Webmaster at webmaster @www.IN.gov. Please
reference your order number 2411-12312012154201-5935707.
IN.gov
10 W. Market St., Ste. 600
Indianapolis, IN 46204
T. 317-233-2010
F. 317-233-2011
http://www.fN.gov
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ashley Ulbricht 4( IN SUM OF $
433 Autumn Drive
Carmel, IN 46032
$7 . 14
ON ACCOUNT OF APPROPRIATION FOR
ADMINISTRATION
Dept. 1205
DO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1205 Receipt 1390-99 $7 . 14 1 hereby certify that the attached invoice(s), 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
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))
2/31/12 Receipt Filing Fee - SOC Business Entity $7 , 14
Report for Carmel Civic Square
Building Corp.
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
vith IC 5-11-10-1.6
20
Clerk-Treasurer