HomeMy WebLinkAbout324045 04/11/18 (_C,q
CITY OF CARMEL, INDIANA VENDOR: 357203
ONE CIVIC SQUARE JEFFREY EADS CHECK AMOUNT: $*******125.00*
?a CARMEL, INDIANA 46032 5671 HARE..DRIVE CHECK NUMBER: 324045
M,roN. NOBLESVILLE IN 46062 CHECK DATE: 04/11/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 REIMB 62.50 OTHER EXPENSES
651 5023990 REIMB 62.50 OTHER EXPENSES
VOUCHER NO. 185249 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 357203 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
EADS, JEFF CITY OF CARMEL
utilities 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,
numbers of units, price per unit, etc.
Payee
62.50 357203 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR EADS,JEFF Terms
Carmel Wasterwater Utility utilities Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), '
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
032718 01-7200-07 $62.50 and received except 4/6/2018 032718 $62.50
5
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
VOUCHER NO. 181282 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 357203 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
EADS, JEFF CITY OF CARMEL
Utilities 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,
numbers of units, price per unit, etc.
Payee
62.50 357203 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR EADS,JEFF Terms
Carmel Water Utility Utilities Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), '
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
032718 01-6200-07 $62.50 and received except 4/6/2018 032718 $62.50
r
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
� EST.1920
THANK YOU FOR SHOPPING EDDIE BAUER
II II I IIII I IIII II I II IIII II VIII I II III II III IIIIIIIII II I I I I PAGE OF 1 0 7H 0
VISIT WWW.EDDIEBAUER.COM 032$ o
OR WWW.EDDIEBAUER.CA TO CHECK YOUR 006 001 1
REWARD BALANCE AND REVIEW ALL BENEFITS e�
OF EDDIE BAUER ADVENTURE REWARDS! 00001485394752 464 12 3
YOUR MEMBER NUMBER IS 920745940 �5C 2 7
ORDER SUMMARY Pick Ticket# 107414660 Order#75910075 FOHB �,
ITEM NUMBER Color Size Description Stip GB Status Total$
Y
019 3392 792 766 DK SLATE: 12M M. LUKLA PRO _.1 N _ SI3 PPED ,, 78.00
019 3533 792 938 CINDER 12M ,c M.' SENECA PE 1 N, ,,,;SHI,PPED„ ` 3 60.00
Customer Number 4257011181 Q989690678295 10.00 ITEM TOTAL 138.00
Order Number 75910075 TAX 8.96
Order Date 3/27/2018
Payment Method MASTERCARD 6838
Order Type Regular
PACKAGE TOTAL 136.96
RETURN/EXCHANGE By Mail: Complete/enclose return form; In Store: Bring entire form
Bill TShip TO: EADS
JEFF EADS 5671 IIII IIIIIIIII III III III
VIII II IIIIIII IIIIIIII III III HARE DR
NO
NOBLESVILLE IN 46062-8702 NOBLESVILLE IN 46062-8702
Pick Ticket#107414660 Order#75910075
Reason; Qty ITEM NUMBERfColor Slze Description ADVENTUREI REWARD 920745940
-Code-,' ;
019 3392 792: 766 DK SLA 12M MLUKLA,PRO '1001959 617 V
019 3533 792 938 CINDER 12M ,=r M SENECA PE :` ..400010828135 '
❑Exchange ❑Refund IF THIS WAS A GIFT': ❑Refund Me ❑Refund the Giver (GIFT=Exchange or Merchandise Credit Only)
Style Color Size Description Alt Color Qty Unit$ Total$
1.
2.
3.
4.
GIFT RETURNS
Please complete GIFTS section on back of form
RETURN ADDRESS: NO POSTAGE
NECESSARYIF
6759 Port Road MAILED IN THE
Groveport,OH 43199 UNITED STATES
I
$6.00 for packages weighing up to
5 pounds and$8.50 for all others
(See reverse side for details)
Pick#107414660 Order#75910075
PARCEL SELECT RTN SVC
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SMARTPOST PERMIT NO.77050-000 N
SMARTPOST/ RETURNS co
PARCEL RTN SVC
56950
NDC - USPS PARCEL RTN SVC