251581 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 357304
® ONE CIVIC SQUARE JAMES HOBBS CHECK AMOUNT: $**......13.47*CARMEL, INDIANA 46032 11180 E.111TH STREET CHECK NUMBER: 251581
� roN,�,?• FISHERS IN 46038 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4342100 13.47 POSTAGE
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C3Certified Mail Fee $ 03� f)u1 4
Extra Services&Fe ck box,add fee a��o'rf to 11
❑Return Receipt(h cc ) $ Alt �tJJ`
O ❑Return Receipt(el ironic) $ Postmark
O ❑Certified Mail Rest cted NO F Here
C3 ❑Adult Signature Re fired ,VV' $
❑Adult Signature Res 'cted Delivery$
fO Postage $
$ Sig� Total Postage and Fees 5 11�C(i�?[(1
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$ $4.087
Sent To
Street and Apt or POBox No.
No., -
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City,State,ZIP+4�- -- ----------
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CertifiedMailservice provides the following benefits:
e A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
n A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
n Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
e A record of delivery(including the recipients retail associate.
signature)that is retained by the Postal Service- Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
Important Reminders: •�to.the addressee's aidhoriied add?iAdult '
u You may purchase Certified Mail service with;';,v s a to�Eatlgast 21 years of age(not e
First-Class WHO,rirst-Class Package SearviW available aw'efally,
or Prioritq thail®service. }
Adult signaturrlA cted delivery service,which
m
Certified Mail service is not available fur requires the sigiie I be at least 21 years of age
international mail. d r1°r:,and provides dellveritsseo the addressee specified
-
13 Insurance coverage is notavailable to(purchase ;;, by name lar Jo thea ree's authorized agent
with Certified Mail service.However,the purchase.'., . (not available at retaA).
of Certified Mail service does not change the '° 'o To ensure that your Certified Mail receipt is
insurance coverage automatically include with accepted as(edal proof of mailing,it should beano'
certa n Priority Mail items. \a„U.UpP wtrfark if jou would like a postmark on -
n For an additional fee,and with a proper `v; 1this¢ertified•Mail receipt,please present your
endorsement on the mailpiece,you may request Certlfied IOIeiI item at a Post Office'"for
the following services: postmarldng.If.you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047
-------------- -- ---------.._---------
CARMEL
275 MEDICAL DR
CARMEL
IN
460329998
1712760814
11%03%2015 (800)275-,8777 10:19 AM
Product Sale Final
Description Qty Price
First-Class 1 $1.42
Mail
Large Envelope
(Domestic)
(INDIANAPOLIS, IN 46204)
(Weight:0 Lb 2.50 Oz)
(Expected Delivery Day)
(Thursday 11/05/2015)
Certified 1 45
(@®USPS Certified Mail #> -
(70151730000156059053) -
Cushion 1 .19
Mailer 6" x 10
(Unit Price:$1.19)
First-Class 1 $2.54 y
Parcel Service
(Domestic)
(NAPERVILLE, IL 60566)
(Weight:0 Lb 2.20 Oz)
(Expec uer >
(T rsday 11/05/2015)
(U PS Tracking #)
(9 00 1134 6016 5307 1416 96)
Total ------- --- $8.60
Cash $10.00
Change ($1.40)
For tracking or inquiries go to
USPS.com or call 1-800-222-1811.
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))
11/03/15 $13.47
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
Jim Hobbs
IN SUM OF $
c/o Carmel Street Department
$13.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-421.001 $13.47 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
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Str�g��of,�missig�ne�er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund