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221487 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 357203 Page 1 of 1 ONE CIVIC SQUARE JEFFREY EADS CARMEL, INDIANA 46032 5671 HARE DRIVE CHECK AMOUNT: $114.97 NOBLESVILLE IN 46062 CHECK NUMBER: 221487 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 71 . 86 OTHER EXPENSES 651 5023990 43 . 11 OTHER EXPENSES DTCK ' S SPOPTING GOODS 1j; Is/ NECE Wr S-(018;1 R-9 r 2271 A--U)81; )5 SALE YOUP CiliSlc)liliq, Copy (Al vuq 1.I IRI 5,9,39 N WSW d trill 1V5 1V i t,Y ITEM TOTAL 114.97 SUBTOTAL 114.97 TOTAL 114 - 97.- TAX [XI-wi tjiaii CA.,-.',H 120.00 CHANGE DUE 5.03 TWAL `iAVIVJC,� 5;jil SWE OF INDrANA (317) 232-2339 Il�lllilll�Ihlll��{Milli I I I I : �l�Illllll�ll��l 1001 c"A Jo9z., loday! Jt'-, FR-P fo]. every 300 j)ijlI,lK , $10 ReAl-d' t Mvl)ick ,�;pcvt for X A A:ANA:A A.4: A A A 'A.A A'AA A f;ave wi ti,l tjj-,cjj ile,1113 [)acl! I[-) coj,� c1h,I on I I 1.1o. wwwAlckspo tjqh,,,k.(hMWfQhersdav No o wl r1 1 t() ye t e 1 , Gift 1-1 i m dec;i de! i 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 6/25/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/25/2013 070113 $71.86 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 O Cer i VOUCHER # 131967 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 070113 01-6200-07 $71.86 i � P Voucher Total $71.86 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 6/25/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/25/2013 070113 $43.11 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 O er VOUCHER # 135883 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 070113 01-7200-07 $43.11 Voucher Total $43.11 Cost distribution ledger classification if claim paid under vehicle highway fund