255968 03/01/16 J�/���p� CITY OF CARMEL, INDIANA VENDOR: 369361
ONE CIVIC SQUARE JAKE RAYLE CHECK AMOUNT: $********56.00*
i
CARMEL, INDIANA 46032 C/O DISTRIBUTION CHECK NUMBER: 255968
'M;T�„�' CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 12616 56.00 OTHER EXPENSES
VOUCHER # 154254 WARRANT# ALLOWED
TRAYLE IN SUM OF $
RAYLE, JAKE
dISTRIBUTION OFFICE
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
12616 01-6040-03 $56.00
j
I
Voucher Total $56.00
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
TRAYLE
RAYLE, JAKE Purchase Order No.
dISTRIBUTION OFFICE Terms
Due Date 2/8/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2016 12616 $56.00
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
4, 40V- -
Date Officer
LAZA 7G PARK
PTO
RK Capitol Commons
PLAZA
**EXIT 6**
PLEASE KEEP THIS TICKET DATE :01/27/16
WITH YOU TIME :03:06: PM
Entered/Arriuee: Receipt No, 29/627/211
2016/01/26 08:31 * Original *
Ticket/Billet#:69299542 Ticket: 240$51
Dur/Duree:fi:27:58 Entry 01/27/16 08:17 AM
Paid on/Paye Le:
2016/01/26 14:54 TAX included 30.00
Paid/Paye:$ 26.08 Credit 30.00
original Fee:$ 26.08 Trans ID : 123902
PST:$ 8.88 Card No. xxxxxxxxxxxx6D88
PST:$ 0.88 Card Type: VISA
Change:$ 0.00
4
UIS
SC: 112
SC: 0.00 ��/
c.
Merchant ID:
wwrarr•r��rx�fi088 S
VISA
Seq# 121880821 01203
Purchase 16/01/26 15:01:43
Auth# 055914