159424 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 359082 Page 1 of 1
ONE CIVIC SQUARE JEFF ELLIS ASSOCIATES INC
CARMEL, INDIANA 46032 508 GOLDENMOSS LOOP CHECK AMOUNT: $87.00
OCOEE FL 34761 CHECK NUMBER: 159424
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4357004 20035632 40.00 EXTERNAL INSTRUCT FEE
1047 4239099 20035806 47.00 OTHER MISCELLANOUS
Invoice
C�9LDDEENM SUe a''qu art ers
usos
A% �moss Loop
Ocoee, FL 34761 4/2 /2008 20035632
=111111
C armel Clay ar Rec
Tina Hotze
1411 E. 116th Street
Carmel, IN 46032
Net 30
AMOUNT I
Change Registration Fee 40.00 40.00T
I
Changing from Kim to Allison Chadwick
Out -of -state sale, exempt from sales tax 0.00% 0.00
i
u v
APR 7P`
I PR
t 2008 3
r AP R 1� v u 200$ v .v
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7 36 0 C Oa
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0
IOTA L X4000
540840 (9/06)
Invoice
JEFF ELLIS ASSOCIATES, INC. REi C"FTN7
508 GOLDENMOSS LOOP
W3 PH. (8 0) 42 APR 2 9 1008
www.jellis.com 4/18/2008 20035806
B'Y:
BILL
CarmeMQay Kee
Tina Hotze
1411 E. 116th Street
Carmel, IN 46032
j Net 30
a
DES o AMO
I License Transfer to E &A Facility 10.00
Handling Charges 12.00
UPS Shipping Services /Insurance 25.00 E
Out -of- -state sale, exempt from sales tax 0.00
i
I
I
ti lase M,+• i
I t t g 1 r, re K�,.
3g7f t t�
1 'Y A stn'
t g
s •Y
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a t'>f� to "�R ����a�� 1
I
1 4 7 33003S 1 4 23�10g9
m. I
U� Z
N L_ TOTAL
540840(9/06)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Jeff Ellis Associates, Inc.
508 Goldenmoss Loop Date Due
Ocoee, FL 34761
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/08 20035632 Registration Fee Allison Chadwick 40.00
4/18/08 20035806 License Transfer to E A Facility 47.00
Total 87.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Jeff Ellis Associates, Inc. Allowed 20
508 Goldenmoss Loop
I Ocoee, FL 34761
In Sum of
87.00
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 20035632 4357004 40.00 1 hereby certify that the attached invoice(s), or
1047 20035806 4239099 47.00 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
14 -Apr 2008
Sig#rature
87.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund