253623 01/22/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 357203
ONE CIVIC SQUARE JEFFREY EADS CHECKAMOUNT: $******""23.53`
CARMEL, INDIANA 46032 5671 HARE DRIVE CHECK NUMBER: 253623
NOBLESVILLE IN 46062 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 011216 11.76 OTHER EXPENSES
651 5023990 011216 11.77 OTHER EXPENSES
---------------------------------
- --------------------------------------------
Y 23.53 2 DBODEB 12JAN16 11:2315JAN16 11:23
i'' Receipt $: 000011308797Mach #: 2412Cy01 - KIMMEL SHOE REPAIR-CLV KI2MEL SHOE
REPAI
authcode= 162045
Available balance after preauthorization: 5889.24
Total hold amount remaining: 23.53
E.
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357203
EADS, JEFF Purchase Order No.
utilities Terms
Due Date 1/15/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/15/2016 011216 $11.77
hereby certify that the attached invoice(s), or bill(s) is (are)true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
/isliv (" .V ry-/ —�
Date Officer
VOUCHER # 157045 WARRANT # ALLOWED
357203 IN SUM OF $
EADS, JEFF
utilities
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT j Audit Trail Code
011216 01-7360-07 $11.77
t
r
Voucher Total $11.77
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357203
EADS, JEFF Purchase Order No.
Utilities Terms
Due Date 1/15/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/15/2016 011216 $11.76
hereby certify that the attached invoice(s), or bill(s) is (are)true and
.orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 154080 WARRANT# ALLOWED
357203 IN SUM OF $
EADS, JEFF
Utilities
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
011216 01-6360-07 $11.76
5�
Voucher Total $11.76
Cost distribution ledger classification if
claim paid under vehicle highway fund