192423 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 357203 Page 1 of 1
ONE CIVIC SQUARE JEFFREY EADS CHECK AMOUNT: $45.00
CARMEL, INDIANA 46032 5671 HARE DRIVE
NOBLESVILLE IN 46062 CHECK NUMBER: 192423
CHECK DATE: 1217!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 112610 28.13 OTHER EXPENSES
651 5023990 112610 16.87 OTHER EXPENSES
JEFFREY D EADS ACN: 1920205 SSN: 309 -90 -4358 03DEC10
TRAN EFF TRAN FEE/ FINANCE SHARES/
SF DATE -TIME DATE TRN -SC AMOUNT PNLTY CHARGE PRINCIPAL BALANCE TLR
S- 29NOV10- 04:33AM
2 4-s 2- g 1" 0 0
361397
PO 0990 63$03- 27 10 04:37:17A
54�� F� MA- RK- F-T--- EEIZKEY INNS"-
2 9NOV 10 3 O S "'PREAUI'HORZII`IOItI -3OI1D 58 COFLETFD S a O
rec ipt 4: 0000966J6 .__authcode: 857607 placed
27NOV2010-1- :12 0 0 4 2 0 9-9 -0 WELLS MARKET
REDFCEYZNLTS c e �ngNC3V��? 3 :0 0 4_;_3_x.
(SO 0
2 9NOV10 01.0 9
28NOV10,,,T2Tcd 37:50 37:50. 11;0.7 800
-Trace 3894
POS LK653 -8.7- •6.13 2-"70.1
5541 SPEED 0330.3-1.'76 NOBLESVILLE INUS
29NOV10 -0 AM <POS PREAUTHORIZATION HOLD _$_1.00,.- .CQRP.LETED. --8.90
r ec e ipt Q0 -0 -01901439 �authcode: 878538 placed
LI65383---- �5542> 800
29NOV10- 09:47PM
26NOV10 DW 32.10 -32.10 1144.89 800
Trace 320408
POS 54420001 5617053 26NOV10 09 :50:07P
5999 OLD NAVY 5442 CARMEL INUS
29NOV10- 09:47PM <POS PREAUTHORIZATION HOLD $32.10 COMPLETED 800
receipt 000012917719 authcode: 820843 placed
26NOV2010 20:10 Mach# 54420001 OLD NAVY USA
CARMEL INUS completed on 28NOV2010 21:47> 800
�y 6515
Old Navy 5442
in Center Blvd,
19250 Clay Terrace Blvd, &sville, IN 46060
Carmel, IN 46032 Tel. (317)773 -0626
Tel. (317) 581 -9842 110 7:47;10 AM
1112612010 3'09:47 PM 1690 Store. 06515
Trans.: 0613 Store: 05442 z9.: 003
Res,: 001 Cashier: 2141 Valid No:3888
Cashier: 2129852 Valid No:4978 SALE
SALE ICI I IIiI I IIIIII III I I I I�I�IIi III
I Il l! 1
11llIIIIII�IIII fI�I�iIII lIll IIIII Iillllll 065150031690201011263888
054420010613201011264978
STRAIGHT JEAN 15 00 T
STRAIGHT JEAN 15.00 T 378231 3434 1 16.00
482651 3434 1 29.50 Item Discount -1.00
Item Discount -14.50 M $15,00 BSC DENIM
M $15.00 BSC DENIM
STRAIGHT JEAN 15.00 T Total Discount -1.00
239935 3434 1 29.50
Item Discount -19.50 Subtotal 15 -00
M $15.00 BSC DENIM T1 Taxable Amount 15.00
T1 (7 0000 Tax 1.05
Total Tax 1.05
Total Discount -29,00 Total 16 05
Cash 20.05
Subtotal 30.00 Total Tender 20.05
T1 Taxable Amount 30.00 Change Due -4.00
T1 (7,0000%) Tax 2,10 i
total Tax 2.10
Total 32.10 Unwashed, unworn merchandise may be
fi ate! 32.10 returned within 90 days of purchase in
Account: XXXXXXXXXX the country of Purchase for a refund in
Ruth: RUTH 820843 (A) the original form of payment for the
Total Tender 32.10 Price Paid or you may apply price Paid
Change Due 0,00 towards a merchandise exchange.
A mail check will be issued within
10 days when merchandise over $5 is
Unwashed, unworn merchandise may be Paid for by check or e check,
returned within 90 days of Purchase in Other terms and conditions apply.
the country of purchase for a refund in Please see complete details in any
the original form of payment for the Old Navy store or online
Price Paid or you may apply Price paid at oldnavy.com,
towards a merchandise exchange. Customer Copy
A mail check will be issued within
10 days when merchandise over $5 is
Paid for by check or e check. `7
Other terms and conditions apply,
Please see complete details in any
Old Navy store or online
at oldnavy,com
Customer Copy
VOUCHER 103482 WARRANT ALLOWED
T2005 IN SUM OF
Jeff Eads
Carmel Utilities
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
112610 01- 6200 -07 $18.75
i
Voucher Total
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
T2005
Jeff Eads Purchase Order No.
Terms
Carmel Utilities Due Date 11/29/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/29/201( 112610 $18.75
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
Date Officer
VOUCHER 106653 WARRANT ALLOWED
T1034 IN SUM OF
JEFF EADS
CARMEL UTILITIES
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
112610 01- 7200 -07 511.25
f�2bF
(6 -�l
Voucher Total.0 L�
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
T1034
JEFF EADS Purchase Order No.
CARMEL UTILITIES Terms
Due Date 11/29/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/29/201( 112610 $11.26
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
Date Officer