242750 03/03/15 `;�r..4Axy�i
CITY OF CARMEL, INDIANA VENDOR: 357304
;; ® i. ONE CIVIC SQUARE JAMES HOBBS CHECK AMOUNT: S**......*5.33*
CARMEL, INDIANA 46032 11180 E.111TH STREET CHECK NUMBER: 242750
9M�TON��:` FISHERS IN 46038 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4342100 5.33 POSTAGE
I Postal
`
CERTIFIED
, O RECEIPT
Domestic Mail Only
m Postage $ $2.03 -'4b'W4
O
r:1 Certified Fee $3 30
P&RImark
C3 Return Fee
Q (Endorsement Required) $0.00 ilt ire
Restricted Delivery Fee
E:, (Endorsement Required) $0.00
ru
cO Total Postage&Fees $ $5.33 02/2G%2015-'``-
r—i
Sent To
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O Street&ApL No.,
or PO Box No.
City,State,ZIP+4
-------------------------
PS Form
3800i July 2014 See Reverse4or Irfstructions
Certified Mail service provides the following benefits:
■A Certified Mail receipt(this portion of the mailpiece;include applicable postage to
Certified Mail label). cover the return receipt service fee;and
■A unique Identifier for your mailpiece. endorse the mailpiece"Return Receipt
■Electronic verification of delivery or attempted Requested,"or see a retail associate for
delivery. assistance.For an electronic return receipt,
a A record of delivery(including the recipient's see a retail associate for assistance.To
signature)that is retained by the Postal receive a duplicate return receipt,present
Servicem for a specified period. 'this USPS®-postmarked Qeftified Mail
receipt to the retail associate,who will
Important Reminders: provide a duplicate return receipt for no
■'You may purchase Certified Mail service with _ additional fee.
First-Class Mail®,First-Class Package Restricted delivery service,which provides
Services,or Priority Mail service, delivery to the addressee specified by name,
■Certified Mail service Is notavailable for or to the addressee's authorized agent.
international mail. Include applicable postage to cover the
o Insurance coverage is notavailable for restricted delivery fee and endorse the
purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a
the purchase of Certified Mail service does not retail associate for assistance.
change the insurance coverage automatically' o'To ensure that your Certified Mail receipt is
included with certain Priority Mail Items. accepted as legal proof of mailing,it should
■For an additional fee;,you may request the bear a USPS postmark.If you would like a
following services: postmark on this Certified Mail receipt,please
-Return receipt service,which provides you present your Certified Mail item at a Post
with a record of delivery(including the Office-for postmarking.If you don't need a
recipient's signature).You can request a postmark on this Certified Mail receipt,detach
hardcopy return receipt or an electronic the barcoded portion of this label,affix it to the
version.For a hardcopy return receipt, mailpiece,apply appropriate postage,and
complete PS Form 3811,Domestic Return deposit the mailpiece.
Receipt attach PS Form 3811 to your IMPORTANT.•Save this receipt for your records.
PS Form 3800,JU1y 2014(Reverse)PSN 7530-02-000-9047
CARMEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814-0097
02/26/2015 (800)275-8777 01 :53:11 PM
-- — Sales Receipt
Product Sale Unit Final
Description Qty Price Price
INDIANAPOLIS IN 46204-2273 $2.03
Zone-1
First-Class Mail Large Env
5.30 oz.
Expected Delivery: Sat 02/28/15
@@ Certified $3.30
USPS Certified Mail #:
70141820000106337067
Issue Postage: $5.33
Total : $5.33
Paid by:
Cash $20.33
Change Due: -$15.00
@@ For tracking or inquiries go to
USPS.com or call 1-800-222-1811 .
BRIGHTEN SOMEONE'S MAILBOX. Greeting
cards available for purchase at
select Post Offices.
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Hobbs
IN SUM OF$
c/o Carmel Street Department
I
I
i
$5.33
i
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#IrITLE I AMOUNT Board Members
2201 I I 43-421.001 $5.33 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
X el
2015
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
f
I Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201 (Rev.1995)
�
CITY OF CARMEL
i 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))
j 02/26/15 $5.33
I
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