160426 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 359082 Page 1 of 1
ONE CIVIC SQUARE JEFF ELLIS ASSOCIATES INC CHECK AMOUNT: $747.00
CARMEL, INDIANA 46032 508 GOLDENMOSS LOOP
•y OCOEE FL 34761 CHECK NUMBER: 160426
CHECK DATE: 6/1012008
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DEPART ACCOUNT PO NUMBER INVOI NUMBER A MOUNT DESCR IPTION
1047 4239099 20036314 747.00 OTHER MISCELLANOUS
JEFF E.ILLIS ASSOCIATES, INC. Invoi
OA
508 GOLDENMOSS LOOP
OCOEE, FL 34761 off M
PH. (800) 742-8720
www.jellis.com
5/21/2008 20036314
Carmel Clay Par Rec
Tina Hotze
1411 E. 116th Street
Carmel, IN 46032
TERMS" PROJECT
i
Net 30
i
70 E &A Upgrade License to License 700.00T
Handling Charges 12.00 1
UPS Shipping Services /Insurance 35.00 j
I 1306 1
Out -of -state sale, exempt from sales tax 0.00
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c j L-7 3 3C) b 35 Z 3 qaq i $747.00
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540840 (9106)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4
An invoice of 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.
359082 Jeff Ellis Associates, Inc.
Date Due
508 Goldenmoss Loop
Ocoee, FL 34761
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
747.00
5121108 20036314 E A U rade License to License
Total 747.00
1 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
Vouchq,r No. Warrant No.
359082 Jeff Ellis Associates, Inc. Allowed 20
508 Goldenmoss Loop
,Ocoee, FL 34761
In Sum of
747.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT */TITLE AMOUNT I hereby certify that the attached invoice(s), or
Dept
1047 20036314 4239099 747.00 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
4 -Jun 2008
Sig re
747.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund