219350 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 357304 Page 1 of 1
c+ ONE CIVIC SQUARE JAMES HOBBS CHECK AMOUNT: $47.85
CARMEL, INDIANA 46032 11180E 111TH STREET
_ FISHERS IN 46038 CHECK NUMBER: 219350
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 47 . 85 SPECIAL DEPT SUPPLIES
Ship to:
Jim hobbs
11180 E 111th St
Off of Allisonville rd
Fishers , IN 46036-1713
United States
lil2l5@sbcglobal.net
(317)577-2620
Invoice I Packing Slip
Date I Record#
Mar-23-20131 112412
Quantity Item# Item Name Price Subtotal
3 290841503018 15X USB AC Wall Charger+ Data Cable +Car Charger for $15.95 $47.85
ple iPhone 4 4S 3GS iPod
Custom Label: 3-115X-A
US Postal Service Tracking#: 9405511699000884501900
Subtotal: $47-85
Shipping&Handling(USPS First Class Package): $0.00
Sales Tax N/A
Seller discounts(-)or charges(+): $0.00
Total: $47.85
Sale Status 8 Notes
Status Summary(Sale Date: Mar-23-2013)
g Checkout: Mar-23-2013 Payment Date: Mar-23-2013 ®Shipment Date: Mar-24-2013
(2)Last email sent: Mar-24-2013(2) Feedback sent:Yes Feedback received:Yes
Payment Information
Payment received on Paid 4th
Mar-23-2013 PayPal
Shipping Information
Shipped on Actual Shipping Cost
Mar-24-2013 $0-00
Shipping Details
Tracking 9 9405511699000884501900
USPS
Miscellaneous Information
Your cost per item
NIA
Notes to yourself
Prescribed by State Board of Acmunls 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/23/13 $4785
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
VOUCHER NO. WARRANT NO.
Jim Hobbs ALLOWED 20
IN SUM OF $
c/o Carmel Street Department
$47.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#frlTLE AMOUNT Board Members
2201 I I 42-390.11 I $47 85 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
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