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225551 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367285 Page 1 of 1 ONE CIVIC SQUARE JONI L SEDBERRY CARMEL, INDIANA 46032 8250 HAVERSTICK RD CHECK AMOUNT: $1,666.66 SUITE 100 , CHECK NUMBER: 225551 INDIANAPOLIS IN 46240 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4341952 26682 OCT2013 1, 666 . 66 PAUPER LEGAL FEES g � K � R Broyles I Kight I Ricafort 8250 Haverstick Road Suite ATTORNEYS AT LAW 00 Indianapolis,Indiana • October 1 Carmel City Court Attn: Diane One Civic Square Carmel, Indiana 460 Pauper Client Representation BILLING STATEMENT Pauper Client Representation from October 1 • October 1 ..• •• TOTAL •.• .• Tax Identification Number: 27-0790776 Please remit .. • Joni Sedberry Broyles - •Ricafrt, ' John A. Broyles Megan J. Kight • 1 Haverstick Road, 11 Nissa M:Ricafort Indianapolis, . • 1 Parenting Coordinator Erin M. Dumell Registered Domestic Relations Mediator Jesse G. Pace Elizabeth L. Crites Licensed in Illinois Of Counsel Melanie K. Reichert .Registered Domestic Relations Mediator Amanda R. Blystone Parenting Coordinator Registered Domestic Relations Mediator Certified Family Law Specialist* Joni L. Sedberry' Registered Domestic Relations Mediatot Michael A. Wilkins Parenting Coordinator *Family Law Certification Board Tel: 317-571-3600 Fax: 317-571-3610 www.bkrlaw.com 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 3_6 Sci� reJ Purchase Order No. CO-r erms aSd \je U-I Date Due /TN Im- Invoice Invoice Description Amount Date Numh— (or note attached invoice(s) or bill(s)) Io i3 'lo f se-►--z�_f/, /,66.66 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 $ � 00 L s ki h 7 rC D� r ON ACCOUNT OF APPROPRIATION FOR Board Members INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# // I hereby certify that the attached invoice(s), or C�.6 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 o 2k5 Cost distribution ledger classification if Title claim paid motor vehicle highway fund