HomeMy WebLinkAbout225126 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 366267 Page 1 of 1
ONE CIVIC SQUARE ASHLEY ULBRICHT
CARMEL, INDIANA 46032 433 AUTUMN DRIVE CHECK AMOUNT: $145.00
CARMEL IN 46032
CHECK NUMBER: 225126
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 24000703 145 . 00 ORGANIZATION & MEMBER
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Annual Indiana Attorney Registration Payment Receipt
Thank you for submitting your payment! Please print this page for your records.
Confirmation #:24000703
Billing Information
Payment submitted:9/30/2013 2:08:31 PM
Assistant City Attorney
Ashley Ulbricht
aulbricht @carmel.in.gov
(574) 250-7002
433 Autumn Dr
Carmel, IN 46032
United States
Payment Method
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Invoice Summary
Ashley Ulbricht (26930-20)
AnnualFee .............................................. $145.00
Subtotal: $145.00
Grand Total: $145.00
Prescribed by Stale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.207(Rev.7995)
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
Ashley Ulbricht
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
101719013 Pinimhi irsement for 101 TA membership renewal $104 On
for Ashley Ulbricht per Attached Payment
Receipt# 24000703
Total d n
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in$aN rdance
with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO. f
ALLOWED 20
AshIPv I 11bi-irbt IN SUM OF $
$ $145.00
ON ACCOUNT OF APPROPRIATION FOR
LAW DEPARTMENT 1180
430-55300 Organization &Membership dues
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
1180 24000703 44@LA $145.00 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 J�
Sig ature
r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund