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Home My WebLink About229922 03/12/14 CIq "F CITY OF CARMEL, INDIANA VENDOR: 00352832 ONE CIVIC SQUARE FIFTH THIRD BANK CHECK AMOUNT: $*****3,463.25* CARMEL, INDIANA 46032 ACCT#XXXX-XXXX-XXXX-2796 CHECK NUMBER: 229922 °M roN. :j PO BOX 740523 CHECK DATE: 03/12/14 CINCINNATI OH 45274-0523 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 2798 290.42 TRAVEL FEES & EXPENSE 1081 4343007 2798 434.00 FIELD TRIPS 1091 4346000 2798 299.00 CLASSIFIED ADVERTISIN 1091 4357004 2798 1,969.00 EXTERNAL INSTRUCT FEE 1093 4350100 2798 38.24 BUILDING REPAIRS & MA 1093 4355300 2798 59.00 ORGANIZATION & MEMBER 1094 4358300 2798 5.00 OTHER FEES & LICENSES 1125 4342100 2798 50.59 POSTAGE 1125 4359000 2798 318.00 SPECIAL PROJECTS F : Fifth Third Bank ACCOUNT NUMBERXXXX XXXX XXXX 2798 FIFTH THIRD BANK PO BOX 740523 PAYMENT DUE DATE 03-25-14 CINCINNATI OH 45274-0523 AMOUNT DUE $3,463.25 CURRENT BALANCE $3,463.25 FIFTH THIRD BANK PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT ENCLOSED CARMEL CLAY PARKS & RECR •*To004859 CORPORATE BILLING ACCT C/O AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 5569260004422798 0003463254 0003463254 Please tear payment coupon at perforation. &�4 Y I '��. �f3 8✓ 441 t ,`, "5 e5 "L��t $' kA� �� 'f °f�'[�" y`}51} .{v"Y ST, E T�M G NSAGES , $,x MAR 0 3 2014 BY: 1 a5ssg a +4-3 { ✓` . rF.t% + ' f or=c'n` t s• "� 5 S r- x , CORPORATE ACCOUNT SUMMARY3 K � x =k k,w {=„t u .a3C ` .µr tx ,. "` 6 '+ '"', t4, .a s.yn. 1 4 .e 2Y st r-g2'a '. Ya � "ra �.. ..a�#..F,-i^n.v.aYn -.,3 ';, Z.2•. k�' 2.a.. ,u^�.-,.-�s..,s�,e:..�r�e_.... CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 02-28-14 PREVIOUS BALANCE 7,291.87 PAYMENT DUE DATE 03-25-14 PURCHASES AND OTHER CHARGES 3,463.25 CREDIT LIMIT 40,000 CASH ADVANCES .00 AVAILABLE CREDIT 36,537 CREDITS .00 PAYMENTS 7,291.87- FOR CUSTOMER SERVICE CALL: LATE PAYMENT CHARGES .00 1-800-375-1747 CASH ADVANCE FEE .00 SEND BILLING INQUIRIES TO: FINANCE CHARGES .00 FIFTH THIRD BANK NEW BALANCE 3,463.25 P.O.BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 3,463.25 DISPUTED AMOUNT .00 Page 1 of 2 ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 3,463.25 MINIMUM PAYMENT DUE 3,463.25 AVAILABLE CREDIT 36,536.75 PAYMENT DUE DATE 03-25-14 z CORPORATE ACCOUNT�ACTIUITY '�,-lls ^4; ws CARMEL CLAY PARKS&RECREATION TOTAL CORPORATE ACTIVITY XXXX-XXXX-XXXX-2798 $7,291.87 CR Post Trans Date Date Reference Number Transaction Description Amount 02.18 02-18 75569264049000000000398 PAYMENT RECEIVED-THANK YOU 7,291.87 PY ,' '�s. .a^t yam, d gi 2 i 5,m ,t a'`}�. �' �IINDI�fIDUALfCARDHOLDER�ACTIVI��TY�Th DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-X)(XX-)(XXX-2814 $0.00 $2,802.15 $0.00 $2,802.15 Post Trans Date Date Reference Number Transaction Description Amount 02.03 02-01 55432864032000343526789 IUBL CONFERENCE WEB 812-855.4224 IN 430.00 02-11 02-10 05259584042500088911325 PLUMBERS SUPPLY CO 502-582-2261 KY 38.24 02.12 02-10 85432904042701377320028 NRPAIAMERICAS BACKYARD 703-858.2179 VA 250.00 02.12 02-10 85432904042701377320051 NRPAIAMERICAS BACKYARD 703.858-2179 VA 250.00 02.12 02-10 85432904042701377320077 NRPAIAMERICAS BACKYARD 703-858.2179 VA 250.00 02.12 02-10 85432904042701377320085 NRPA/AMERICAS BACKYARD 703.858.2179 VA 250.00 02-13 02-12 55432864043000895680312 INDIANA PACERS 317-917-28271N 434.00 02-18 02-17 85180894048980159882816 SMARTWAIV£R 541.516-0174 OR 5.00 02-19 02-18 55432864049000371628243 ACT`GLOBAL FITNESS SOL 877.551.5560 CA 289.00 02-20 02-18 85432904050701377325935 NRPAIAMERICAS BACKYARD 703-858-2179 VA 250.00 02-25 02-24 05410194055418177176841 USPS 17127608130911713 CARMEL IN 6.49 02-25 02-24 55309594056206053180857 NNA SERVICES,LLC PHON 08008766827 CA 59.00 02-28 02-27 55480774059286858003203 SUPERSHUTTLE EXECUCARN 08002583826 NY 290.42 PAULA SCHLEMMER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY X)CXX-XXXX-XXXX-9873 $0.00 $44.10 $0.00 $44.10 Post Trans Date Date Reference Number Transaction Description Amount 02-20 02-19 05410194050418193991822 USPS 17127695529905394 CARMEL IN 44.10 MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $0.00 $617.00 $0.00 $617.00 Post Trans Date Date Reference Number Transaction Description Amount 02-04 02-03 55417344035870350912687 DELTA 00623505439115 DELTA.COM CA 318.00 SMITHILINDA JEA Departure Date 03-16-14 RDU DL L IND DL V RDU 02-18 02-17 55429504048849704540212 BOXWOOD TECH 6884918833 MD 299.00 Page 2 of 2 IU Executive Development Program 2014 (EDP) t Page I of 2 5 M"I 14j, k Welcome, Dawn Koepper 5_�n Qut I Edit Order IIJ Executive Development Program 2014 (EDP) Sunday, 4/13/14 4.00 PM - Wednesday, 4/16/14 1:00 PM Step 1 Cancellations must be made in writing to iuconfs@indiana.edu by March 1, t cancellation fee. No refunds will be issued after that date. Credit card payments will show on your statement from IUBL-CONF. Check payments should be made out to "Indiana University", and should ref( the check or stub. Checks should be sent (along with a copy of this confirm: Indiana University IU Conferences PO Box 6212 Indianapolis, IN 46206-6212 Note: This is a bank lockbox and cannot accept FedEx/UPS, express mail, o address is for payments, only. Do not send any other mail to this address. Y( with your payment. For questions about payment, contact Melissa Kocias at iuconfs@indiana.ec This document will serve as your invoice. Order Cetails Wa i2A KA Registrant Leber, Matt -77, Registration Details Item Registration Fee $4 0 r d e r "1"' I https://Indianauniv.ungerboeck.com/prod/emcOO/register.aspx?AppCode=UG&AcctCode... 1/31/2014 IU Executive Development Program 2014 (EDP) Page 2 of 2 Grand Total: $430.00 Amount Paid: $430.00 Payment Information Name On Card: Dawn Koepper Credit Card Number: xxxx-xxxx-xxxx-2814 Address: 1411 E. 116th Street Carmel, IN 46032 https://indianauniv.ungerboeck.com/prod/emc00/reg1ster.aspx?AppCode=REG&AcctCode... 1/31/2014 iD t. STATION; T0; 5114136 2014/92/10 10;51 PAGE! 1 ® ER' ACKNOWLEDGEMENT flnmsfes Suffty Co. Everything Under The Sum ` ` � Order Number Br: 1 Louisville "J / 3749001 P.O. Box 6149 1 ) i . Louisville, KY 40206 t j III II�II�VIII ffflll Ilk��lll EUu'I USA VJ Page 1 of 1 b(�_ 502-582-2261 n —` tZ ----� BILL TO: 16385 1 SHIP TO: ROUTE: 89NOR Cash Fishers Dealers CARMEL CLAY PARKS&RECREATION Fishers 1411 E 116TH STREET Fishers, IN ATTN DAWN 573-4026 USA CARMEL, IN 46032 USA 999-999-9999 ORDER DATE PO NUMBERIJOB# WRITER 2/1012014 CARMEL CLAY PARKS BARBARA.HIBBARD DATE REQUIRED DATE SHIPPED SHIP VIA 2/10/2014 PKG: UPS Ground Quantities Unit Price Extended Price Item ID Item Description Ordered Allocated I Remaining I UPM unitsizeQ.— Order Note: PLEASE UPS TO SHIP TO ADDRESS MONDAY 2-10-14 ATTN DAWN TAX EXEMPT# 0119683083-001... .ON FILE Delivery Instructions: PLEASE SHIP UPS TO SHIP TO ADDRESS TODAY MONDAY 2-10-14 PN400-SB-STR 1 1 0 EA 28.24 26.24 PN400-58 5in RD GRATE ONLY(NO SCREWS) OLD PART# PN400-58-GRID Total Lines: 1 DR A I 1 Col ER L Oka SUB-TOTAL: 28.24 x x-ono V LTAX: 0.00 FREIGHT CHARGE: 10.00 10115, t� 3 rbc It0c) AMOUNT TENDERED: 38.24 AMOUNT DUE: 0.00 'rerms& Conditions: Claims for shortages must be received within 48 hours of receipt of material. Claims for damages or shortages of material received via common carrier must be noted on Bill of Lading upon receipt of material;any concealed damage claims must be made within 48 hours of receipt. Prior consent of Plumbers Supply Company("PSCI and original Sales Ticket or Invoice#is required for all returned material.Restocking charges apply to all returned material. Orders received and processed are subject to a $50.00 cancellation charge. Special Order items are noncancelable and non-returnable. PSC does not manufacture the goods it sells and makes no express warranties thereon. Specifically,PSC disclaims all implied warranties,including any implied warranty of merchantability or fitness for a particular use. Purchaser agrees that all charges will be paid per the payment terms of the account and that a Finance Charge of 1.5%per month will be applied to all delinquent balances of the account. in the event of any default in payment,Purchaser shall pay all attorney fees and/or collection costs as part of the contract between the parties,equal to 25%of the balance of the account,which parties agree are reasonable. Seller's obligation is expressly conditioned upon assent to these terms and conditions. Buyer will be deemed to have assented to these terms and conditions unless Seller receives written notice of any objection within 5 days after the date Buyer receives this writing. —Effective June 1st,2013,Plumbers Supply Company will no longer accept returns for materials that are not In compliance with the 2014 standards of the Federal Reduction of Lead in Drinking Water Act."• �h .s 7 Pacers Sports and Entertainment ' T -- Po- Receipt 125 South Pennsylvania St. I FEB 1 1 2014 Indianapolis, IN 46204 I �< • o e e 7 .e Carmel ClayParks&,Recr`eatiori --- 2/1'0/1`4 12102434 ATT't N Ber Johnson; . , 14,1'1 E. 11 6thStreet Carmel,<IN 46032 Always refer to your account number when corresponding. If address is incorrect, please indicate any changes on reverse side. o =; • r K_ � , 2013-2014 Pacers Season March 4th, 2014 Indiana Pacers vs. Golden State Seats on Reserve Esq ��ITN �4V t R F�L�Z¢lP Upper Balcony 1 (60 seats on Reserve in Account) 3-44-4 *Cost per seat: $7.15 Processing Feej Q8�—�— '' 1 $429:00, $'SUO 2/10/14—FINAL PAYMENT Made for all Seats $434.00 $0.00 ®- ® - • VISA, MASTERCARD,AMEX, DISCOVER ,Total Account;Paid $434.00 EXPIRATION DATE: 08/14 TotaI'ACCOUnt BalanLCe $0.00 CARD#:**********2814 o SIGNATURE: Dawn Koepper � v y t j �" $0.00 512111, Ems 12 :Thank you for:your purchase Once I have received final payment':,- bill sendTahe tickets to the'+ address`li"sted.above'and&you should receive your tickets within the next week. Let me know if you .have any additlona l,q e'stions. Sam" mom, Group Events Specialist Pacers Sports &'Entertainment: Direct (3.17) 917'= 2829 E-mail Selmore(aDpacerscom Smartwaiver Invoice #49905193 Page 1 of 1 5—�L - FEB 1 7 2014 233 SW Wilson Ave., Suite 1 Bend, OR 97702 Phone: 800-277-0265 Email: cs@smartwaiver.com Invoice #0 49905193 Invoice Date: 02/17/2014 Username: monon Service Plan: Smartwaiver Service Plan Description Price USD Smartwaiver Service Plan $5.00 Payment Received 02/17/2014 (Card: XXXX-XXXX-XXXX-2814) - Thank you! $5.00 Ending Balance USD: $0.00 how NdeY Wo�vers https://www.smartwaiver.com/m/chargify_parent/sw_chargify_main.php?sw_chargemain_... 2/17/2014 v �, oA PC) 4 22377 Bclmorn Ridge Road National Recreation XKAshburn, VA. 20148 and Park Association Phone: 800.626.NRPA`6777) Fax: 703.858.0794 7-I-I for hearing and speech impaired WWWA rpa.or R E C E I P T PIMCFTN7E D FEB 18 2014 TO: Dawn Koepper $Y: DATE: 2/18/2014 RE: CPRP Group Applications PAYMENT AND SUMMARY Payment Date: 2/10/2014 Organization: Carmel Clay Parks & Recreation Product/Service: CPRP Group Applications: Eric Mehl $250.00 Nichole Haberlin $250.00 Matthew Leber $250.00 Michael Normand $250.00 Total Amount: $1,000.00 Method of Payment: Credit Card Payment Date: 2/18/2014 Organization: Carmel Clay Parks & Recreation CPR P Tfsf re . P Applications: SW-�roduc Service: CPRP Grou A � J(Q(paS- Benjamin Johnson $25 .00 IN -tl 35,7Uo4 Total Amount: $250.00 GRAND $1,250.00 TOTAL Amount: Method of Payment: Credit Card Please let us know if we may be of further assistance. Thank you for your continue support of NRPA! Customer Service 800-626.NRPA (6772) customerservi.ce�,s.ru-pa.org EMPOWER! Fusion 2014 - RegOnline Page 1 of 2 J��s f 7FFB 18 20 44 BY: �lol �,'}-r,ess Solu�ttts 30(053 Col�t�c�nce Receipt loci I—L[35-loo Lf Receipt Number: 1356369-65576790 Registration ID: 65576790 Registration Date: 2/18/2014 Receipt Date: 2/18/2014 Issued By: EMPOWER! Global Fitness Solutions, LLC Event: EMPOWER! Fusion 2014 Date/Time: Thursday, March 06, 2014 - Sunday, March 09, 2014 Replistrants Name RDegistration Company/Organization Mary Evans 65576790 Billing Information Dawn Koepper 1411 E. 116th Street Carmel, IN 46032 United States Personal Info Mary Evans 1411 E. 116th Street Carmel, IN 46032 United States 317-573-4026 dkoepper@carmelclayparks.com Fees Fee Quantity Unit Price Amount Fee Full Main Conference 1 $289.00 $289.00 Subtotal: $289.00 Total: $289.00 https://www.regonline.com/register/invoice.aspx?Eventld=1356369&Attendeeld=bCtTp+... 2/18/2014 EMPOWER! Fusion 2014 - RegOnline Page 2 of 2 Transactions Transaction Type Date Amount Balance Transaction Amount 2/18/2014 $289.00 $289.00 Online Credit Card Payment (""2814) Details 2/18/2014 ($289.00) $0.00 Current Balance: $0.00 Payment Method Payment Method: Credit Card (MasterCard) The online credit card payment for this event will be listed on your credit card statement with the name Global Fitness Sol. Refund Information Cancellation/Refund Policy: Any request for a refund must be in writing and include cancellation reason. All refund requests received prior to February 15, 2014 will be subject to a $50 administrative fee. There will be no refunds provided for cancellations received on or after February 15, 2014(no exceptions); however, the amount of the registration fee, less a $50 administrative fee, can be credited to a future EMPOWER! event. Questions? Call 1-855-BE-EMPOWERED! https://www.regonline.com/register/invoice.aspx?Eventld=1356369&Attendeeld=bCtTp+... 2/18/2014 CARMEL RETAIL STORE CARMEL, Indiana 460329998 1 40350814-0097 6021/24/2014 00)275-8777 12:08:15 PM -- Sales Receipt -- _ Product Sale Unit Final Description Qty Price Price CARMEL IN 46032 Zone-0 $0.49 First-Class Mail Letter 0.60 oz. Expected Delivery: Tue 02/25/14 Return Rcpt (Green $2.70 Card) 0a, Certified $3.30 USPS Certified Mail #: 70133020000032106907 Issue PVI: $6.49 Total : $6.49 Paid by: MasterCard 9 Account #: XX' „XXXXXXX2814 Approval #: 0 4389 Transaction.#: 84 23903091171 C'C For tracking or inquiries go to USPS.com or call 1-800-222-1811 . BRIGHTEN SOMEONE'S MAILBOX. Greeting cards available for purchase at select Post Offices. In a hurry? Self-service kiosks offer quick and easy check-out. Any Retail Associate can show you how. Order stamps at usps.com/shop-or call 1-800-Stamp24. Go to usps.com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-USPS. Get your mail when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com/poboxes. Bill#:1000300999975 Clerk:l3 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business HELP US SERVE YOU BETTER- Go to: https://Postalexperience.com/Pas TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS Customer Copy d� CT L IZ1l=t-r A Dawn Koepper X X From: Ihernandez@nationaInotary.org Sent: Monday, February 24, 2014 9:40 AM To: Dawn Koepper 7BY- Order CF'XN.r�Subject: National Notary Order 5318085 ,EB 2 4 2014 CCP: Leyla Sales Rep 5318085 Hernandez Id: 154 Bill To: Ship To: Payment Information: Jeanine Pottridge Jeanine Pottridge Payment Type:Master Card Dawn R Koepper 1235 Central Park Dr E Card Ending Number:XXXX-XXXX-XXXX-2814 JN 46032 Carmel,IN 46032 317-573-5235 317-573-5235 }pottrldge@carmelclayparks.com Remit payment National Notary Association Shipping Method:UPS Attn:Batching P.O. Box 2402 Chatsworth,CA 91313-2402 For all Fedex,UPS,certified mail&overnight delivery: National Notary Association Attn: Batching 9350 De Soto Avenue Chatsworth,CA 91311 Source Code: REFER - CUSTOMER REFERRED TO NNA Order Details (Member Pricing Applied): oxw� q 1600012 One Year Membership $59.00 (MBR) 1 $59.00 Subtotal: $59.00 Shipping(UPS): $0.00 Tax(0): $0.00 Total: $59.00 Leyla Hernandez Customer Care Professional Toll Free: 1.800.US Notary(1.800.876.6827) 818.739.4000 Ext.4154 Lhernandez@nationalnotary.org www.nationainotary.org Membership I Compliance I Liability Protection I Risk Management I Professionalism I Growth Opportunities This message and any attached documents contain information from National Notary Association that may be confidential and/or 1 Confirmation Pagel of? Thank you Ben Johnson. Your reservation with SuperShuttte has been saved FEB 2 7 2014 Confirmation#To the Airport: 6707256 Confirmation#From the Airport 6707259 BY: Itinerary ...................................................................................................................................................................................................................................................................................................................................... Airport: New York LaGi a;dia Airport Guests{aver 3 years} e, Guests: 0 s}4UtTI.E SEI2VlGE (under 3 years, ride creel 3GUI S F Group / Online Discount Code: N/"<? IOTI-'g9— Accessible Service: No Chita Seat If you are travelling with children we strongly iecor,imend the use o;, child ssEfety sec=ts. if federal, state or local taws require your child(ren) to be secured in a child safety Seat, please bring one. if a child seat is required and not provided by you, we may not be able to provide ser vice. Oversized Luggage if you have oversized luggage, like golf clubs or a surfboarcf, pteose contact cis at &Q0 258 3826 or- specific instructions From The Airport ......................................................................................................................................................................................................................................................................................................................I............... Service: , ° I:xL;;riS':v'c' Non �tCZp Van Se,',a'..i",'cE'. (i.1t? to 1 I '} c `','i E'"`>) Flight Arrival Time: Fridt iv, February 28, 2014 111:.1.5 Ptr° Airline: DE'.i...1.r1 Af.R _I.iN EES Flight Number, 6266 Domestic J International: Domestic. Arrival Instructions Once you arrive at the airport, please cheek in with SUPel Shuttle (airport pr ocedui es Vary by location, please see airport sl?ecific instruCtions in your ein, ;il Confirmation). Once you i)ove- checked in With us. yoo will be grouped With other passengers going in the san�>ca directu>r� �F�rc tta£' r}eYt a�railc;ble Farr going to your area will be sent to pick you up. (Due to secu,ity at chpot ts, even with a reservation, we c�onnot have a van waiting for you at the curb. Our vans wait ir�) nearby "holding lots„and once you have checked in with us, a von will be sent for you and the other-people going in your sarne direction.) Upon arrivat, fottow the signs to the Luggage clam! and Cottect. yo�.ir tug�a�;>. Fol[{,vr the sig ns to the Ground Transportation Desk near the baggaile Ctairn, odea. yoLf can either speak with one of the airport's GrOUnd Transportation Agents, who will c:onLaCt US On yor.i- t4iatf, car yor.i can Catt SupnrShut.t:te dir£ectty by dialing 29 ft?ill ithe Coi_,rtesy phones located next to the t, fOLida Transportation Centers and ;J`eIC( )e CerlterS throtighotit the airport. To The Airport ............................................................................................................... ... . . .. .... ......................................................................................................... Service: t xc kfsive Non-Stat,) Van Service (up to 11 passen er sj Flight Departure Time Mor day, March 03, 201A 1..15 PM Airline: DEI...TA AfR 1-INNS Flight Number: 52/155 Domestic / International, ...., 03 7 1-.h .£L ti , Pickup Tlii"3fw: i� ,ni �< r, i"ir .r�i U� -t� � t_, i��t};d SPECIAL.INSTRUCTIONS: S: Location .................................................................................................................................................................................................................................................................................................................................. Landmark: SHERATON Y HOTEL & TOWERS http://reservations.supeishuttle.coiii/Print/PrintConfiriiiation•aspx 2/27/2014 Confirmation Page 2 of 2 Phony; urnber: (31.7) -496-0,386 Address: 8:1, 7TH AVE NE:%=;t YORK, NY .10019 Billing: ........................................................................................................................................................................................................................-............................................................................................................ Card Type: Credit Cards umber: Jg 14 Expiration Date: 0,<s/2u 14 Fare Totals ...................................................................................................................................................................................................................................................................................................................................... Total - From The Airport First Passenger: I;1,5,00 Each Additional Passenger: NI/A (Over 3 years old) Fuel Surcharge: ,,�', ®river Gratutity: $,'20,'40 Group Discount. NI, County Tax $5.61 State Tax 4. 0 Total: $1 =5,2.1. Fare Total ...................................................................................................................................................................................................................................................................................................................................... Total - To The Airport First Passenger: $11.5.00 Each Additional Passenger: NI/A (Quer 3 years old) Fuel Surcharge: Nti A Driver Gratutity: !r,,20M Group Discount: NI"A County Tax 5, State Tax -_ ,60 Total: 145,21 Grand Total: $290.42 ...................................................................................................................................................................................................................................................................................................................................... http://reservations.supershuttle.con-/Print/PrintConfirmation.aspx 2/27/2014 CARMEL POST O�:FLCE APC: 2 275 MEDICAL- DR CARMEL, IN 460:32-9998 02/19/2014 02':19:16 PM Sales Receipt Product: Sala Unit Final Description Qty Price Price! ATM/18 Four 5 $8.82 $44.10 Flags Total : $44.10 Paid by: MasterCard $44.10 Account #: 1CXXX:K.KXXXXXX987:3 Approval #: 084077 Transaction #: '182 23-902090539-99 SSK Transaction f+': 37 USPS® # 17?276-9551 Thanks. XX-:N0 It's a pleasures to serve you. ALL SALES FINAL ON STAMPS AND POSTAGE. REFUNDS FOR GUARANTEED SERVICES ONLY. 2/3/2014 Delta-Book a fi ig ht HOME SUPPORT COMMENT/COMPLAINT? TEXTONLY SHOP TRAVELING WITH US SKYMILES' Search (0) Flight Confirmation Number: GUSG96 YOUR PURCHASE IS COMPLETE.THANKS FOR CHOOSING DELTA WHAT'S NEXT Now that you've finished booking your trip: Your e-Tickets,confirmations,receipts,and flight notifications will be emailed to you at Linda.Smith@townofcary.org. • Obtain your receipt for Trip Extras purchased by selecting Email Receipts below.Ifyou purchased a Delta 24 Hour Wi-Fi Pass your receipt will be sent from Gogo-. • Visit My Trips to access youritinera ry,manage your flight online and purchase Trip Extras. • Add Trip Protector to protect against trip cancellations and interruptions with Allianz Global Assistance. • If you have a smartphone,get the Fly Delta app to check in,get alerts on flight and gate changes,and more. Email Receipts Get Notifications Add to Calendar PRINT CONFIRMATION OUTBOUND Sun,16 Mar 20141 6:50PM RDUto 8:36PM IND I Nonstop I DL 3439 t Show Details 6:50PM RDU 8:36PM IND Nonstop 1 hr 46 min DL 3439 I Economy(L) Operated by: 'Endeavor Air Dba Delta Connection 1 Complete Delta Air Lines Baggage Information RETURN Wed,19 Mar 20141 4:45PM 1NDto 6:20PM RDU I Nonstop IDL 3960 1 Show Details ,4:45PM IND 6:20PM RDU Nonstop 1 hr 35 min DL 3960 1 Economy(V) Operated by: 1 EndeavorAir Dba Delta Connection Complete Delta Air Lines Baggage Information In-Flight services and amenities may vary and are subject to change. PASSENGER DETAILS Special ---_—, Seat Services 1 Passenger From To Assignment (e.g.Wheelchair) Trip Extras Ms.Linda Raleigh/Durham, i Indianapolis,IN 03A (Add/Edit Jeanne Smith NC(RDU) (IND) Change Seats Indianapolis,IN I Raleigh/Durham, 1 03C Add/Edit (IND) NC(RDU) Change Seats i , t _x` INDIANAP®LIS, IN I PICK-UP:SUN,16 MAR 2014 8:31PM f DROP-OFF:WED,19 MAR 2014 4:45PM INDIANAPOLIS INTL(IND) FI� NDCAR BOOK + EARN Rook on delta.comand you'd save up to 40'oand earn up to 200 miles per day. Learn More Shop Cars j hitps://wWw.delta.conVbooN ng/\,erifyPurchase.do,jsessioni d=zAEzKrq RZ2g OQEt?dispatchM ethod=di splayConfi rnlation&hiddenFieldsld=zAEzKrq RZ2g OQEt#... 1/2 2/3/2014 Delta-Book a flight ` 6! HOTEL - - INDIANAPOLIS, IN CHECK-IN:SUN,16 MAR 2014 O BEST PRICE JP 1 CHECK-OUT:WED,19 MAR 2014 GUARANTEE .d� c ROOMS: 1 [FIND HOTEL] 3 WHY BOOK HERE? IT'S ALL ABOUT THE MILES. i Earn miles every time you book a hotel at delta.com Shop Hotels � 3 PAYMENT INFORMATION Contact Billing Information Payee Telephone number Payment Type Mr. Michael Klitzing 919-380-2765(Business) MasterCard,************2421 1411 E.116Th St. Carmel,IN 46032,United States ♦COST DETAILS PER PASSENGER Passenger Total Fare Trip Extras Total Ms. Linda Jeanne Smith $318.00(USD) 1$0.0(USD)Y 18318.00(USD) View fare rules I View Taxes/Carrier-imposed fees I View Extras Terms&Conditions I TOTAL AMOUNTS CHARGED Flight: $318.00(US D) Trip Extras: $0.00(USD) Total amount charged: $318.00(USD) Currency Calculator GREENERDelta Air Lines has partnered with The Nature Conservancy"' to help you offsetyour py, carbon footprint for this trip and offeryou otherways to sustain our environment. WAY p�� tl C A 1 TO FLY : LEARN MORE Enter in English RECENT SAVED https:/M wo.delta.con✓booNng/wrifyPurchase.do,jsessionid=zAEzKrgRZ2gOQEt?dispatchMethod=displayConfirmation&hiddenFieldsld=zAEzKrgRZ2gOQEt#... 212 COMMISSION FOR ACCREDITATION OF DARK AND RECREATION AGENCIES ®� F® ACc� ® o o ECREA�® ACCREDITATION LANDBOOK Fifteenth Edition 2013 National Recreation and Park Association Revised September 2013 ONSITE VISIT OVERVIEW Part of the accreditation process is an onsite visit to the agency by a team of individuals qualified and trained as CAPRA visitors. Most visitation teams are comprised of three individuals, although this number may vary from two to four depending on the complexity of the agency being reviewed and other factors, such as agencies eligible for the reaccreditation visit option. The typical visit is usually scheduled for a three-day period during the spring (January—March) or summer(May—July); with accreditation hearing the following fall. Visits under the reaccreditation visit option are scheduled for a two-day period during the spring (January— March) or summer(May—July); with accreditation hearing the following fall The purpose of the visit is fact finding on behalf of the Commission to ensure a clear and complete picture of the degree to which the agency meets specified standards. It is the responsibility of the visitation team to clarify and verify the self-assessment report, to seek additional information that may be pertinent to the Commission's evaluation, and to write a summary report of its findings. PURPOSES The specific purposes of the visit are to: • Verify and clarify the self-assessment report; • Evaluate the agency's status using the CAPRA accreditation standards; • Report findings and recommendations to the Commission; and • Suggest any appropriate revisions in the content or use of the accreditation documents to the Commission. As previously mentioned, the principal role of the visitation team is fact finding on behalf of the Commission. Visitation team members may discuss strengths and weaknesses of the agency as related to specific standards for which evidence is provided; however visitation team members do not act as consultants. EXPENSES No honoraria are given to members of the visitation team; however the agency under review covers all visitor expenses (e.g., transportation, parking, meals, and lodging). If possible, all costs shall be incurred by the agency and not by the visitor. If visitors make their own travel arrangements, the agency must be prepared to reimburse the individual(s) either in advance of the visit or during the visit. In no situation should a visitor incur credit card interest expenses waiting for reimbursement. In addition, for an initial review, the agency is responsible for travel expenses of the visitation team chair(or his/her designee) to attend the Commission hearing at which the agency is reviewed. If a visitor is unable to continue with the visit process due to a bona fide hardship, he/she must notify the Accreditation Manager as soon as possible. If the cancellation is made after travel arrangements have been made on the visitor's behalf, a determination will be made by the Commission Executive Committee and the Accreditation Manager about who (CAPRA or the visitor)will cover the expenses caused by the cancellation. In addition, if the cancellation reason 21 Michael Klitzing From: Danielle Price <dprice@nrpa.org> Sent: Tuesday, December 03, 2013 1:11 PM To: Michael Klitzing; BillFoelsch; linda.smith@townofcary.org; jillwait@msn.com'; Henderson, John (John.Henderson@pgparks.com);juliep@tacomaparks.com; jweiss@coconino.az.gov Subject: CAPRA - Accreditation Visit Introductory Email - Carmel Clay,IN Attachments: CAPRA Visitation Report Template_11-01-1l.docx; CAPRA Visitor Agreement and Conflict of Interest Form.pdf; CAPRA Self-Assessment Report Template_11-01-1l.docx; CAPRA Visit Chair Checklist 05-30-13.docx Dear Visitors, Commission Reviewers, &Agency Representative, Please find below the list of individuals who will be involved with the Carmel Clay,IN initial accreditation review. Visit team -Thank you in advance for serving on this accreditation review; your assistance is invaluable. If for any reason you cannot serve,please notify me immediately. The agency will email the self-assessment(electronic copy) directly to each Commission Reviewer and as well as a copy to me via CAPRA(a)pMa.org at least eight weeks prior to the visit. After review of the self-assessment,the Commission Reviewers will discuss with the visitation chair any issues they feel warrant particular attention during the visit. Should serious concerns arise as a result of reviewing the self-assessment report,the agency will be notified in advance of the visit. Once the Commission Reviewers approves the self-assessment,the Agency Representative will be permitted and required to email the self-assessment report to the Visit Team. Also,the Visit Chair and the Agency Representative, in collaboration with the other visitors,can determine the specific visit dates and start making the necessary travel arrangements. Travel arrangements should not be made prior to receiving the approval by the Commission. The Evaluation Forms have been converted to online submission forms to create a more efficient and"green" process. The Agency Representative,Visitation Team members,and Commission Lead Reviewer will be responsible for submitting the appropriate evaluation form(s)listed below at the completion of the visit. e The Agency Representative will complete an evaluation on the Visit Team: (link to be provided later) a The Visitors will complete an evaluation of the other Visitors: (link to be provided later) o The Commission Lead Reviewer will complete and evaluation of the Visitation Chair and vice versa: (link to be provided later) Additionally,the updated Self-Assessment Template,Visitation Report Template;Conflict of Interest Form, and Visit Chair Checklist are attached. The Visitation Report Template will assist the visitation chair in developing the visit report. The Conflict of Interest Form is to be completed by each visitor and returned prior to the start of the visit via email to CAPRA(a poa.org. The Visit Chair Checklist is a new resource material provided by the Commission(this form has been updated,therefore please be sure to review it). Additional information, including the CAPRA Standards and the updated CAPRA Handbook(15'edition), is available at www.pma.or /Cg APRA. Please review your contact information below and reply to the group(including CAPRA ,nrpa.org) should any corrections be necessary. Initial visit with preliminary dates of March 17-28,2014: Agency Contact Michael W.Klitzing Assistant Director Carmel Clay Parks& Recreation i Administrative Office 1411 E. 116th Street Carmel,IN 46032 P 317.573.4018 mklitzing(a,carmelclayparks.com Chair Bill Foelsch Director of Parks&Recreation Township of Morris PO Box 7603 Convent Station NJ 07961-7603 (973)326-7371 bfoelsch(c),morristwp.com Visitor Linda Smith Business Development Manager Cary Parks Rec&Cultural Resources PO Box 8005 Cary NC 27512-8005 (919)380-2765 linda.smith(a,townofcary.org Visitor Jill Wait 16631 Eolus Way Broomfield CO 80023-8309 (303)906-7445 jillwaitna,msn.com Lead Reviewer John Henderson Research&Evaluation Manager Maryland Natl Cap Pk&Plan Comm 2833 Walker Dr Greenbelt MD 20770-3211 301446-6851 j ohn.henderson(a)pQparks.com Second Reviewer Julie Parascondola Metro Parks Tacoma 4702 S 19th St Tacoma WA 98405-1175 (253)305-1060 juliepp,tacomaparks.com Commission Mentor Judith Weiss DIRECTOR Coconino Co Parks&Recreation 2446 Fort Tuthill Loop Flagstaff AZ 86005-8846 (928)679-8004 jweiss_,coconino.az.gov 2 Paula Schlemmer From: Michael Klitzing Sent: Monday, February 17, 2014 12:54 PM To: Paula Schlemmer Subject: FW: Your receipt From: NRPA Career Center [mailto:billing@boxwoodtech.com] 7Y- National CPT`jF Sent: Monday, February 17, 2014 12:26 PM To: Michael Klitzing B 1 7 2 114 Subject:Your receipt ._J _____ — J Recreaition arnd Park.Association Your job has been posted. It will appear online within the next hour. Thank you for posting at NRPA Career Center The charge on your MasterCard statement will appear as "Boxwood Technology, Inc." Invoice #: 2028505 Date Posted: Monday, February 17, 2014 Job Package Used: NRPA Single 30-day Job Posting Job ID: 6017881 Internal Job ID: 301 Postings Remaining: 0 of 1 Credit Card: ************2421 Charge: $299.00 USD Appears As: Boxwood Technology, Inc. Invoice Detail (2028505) Cannel Clay Parks and Recreation Monday,February 17,2014 Michael Klitzing 1411 E. 116th Street Invoice#: 2028505 Cannel,IN 46032 USA Aged: PAID 317-573-4019 Total: 5299.00 USD MKlitzing_@cannelclavDarks.com Balance: $0.00 USD PO Number: Type Date Amount Description Invoice Feb 17,2014 5299.00 NRPA Single 30-day Job Posting Payment Feb 17,2014 $(299.00) Paid by MasterCard ending in 2421 Any credit card charges appear on your statement as'Boxwood Technology,Inc." i Fifth Third Vendor _ Fund 101 IFund 1081 (Fund 109 _ 1 Organiz. Travel Bldg. Other & Special Expense Field Classified Repairs & fees & External members Postage Projects s trips Ads Maint licenses —Instruct hip dues 1125 1125 1081-99 1081-99 1091 1093 1094 1091 1093 V#3542961 43421001 43590001 4343000 43430071 4346000 4350100 43583001 4357004 4355300 $ 3,463.25 $ 50.59 $ 318.00 $ 290.42 $ 434.00 $ 299.00 $ 38.24 $ 5.00 $ 1,969.00 $ 59.00 01/31/1411U $ 430.00 02/03/14 Delta $ 318.00 02/10/14 Plumbers Supply $ 38.24 02/10/14 Pacers � �' $434.00 02/17/14 Smartwaiver $ 5.00 _ 02/17/14NRPA 1 $ 299.00 02/18/14 Empower _� �_� $ 289.00 _ 02/10/14NRPA $ 1,250.00 02/19/14 Carmel P.O. $ 44.10 02/24/14 Carmel P.O. $ 6.49 02/24/14 Natl Notary Assc �_� $ 59.00 02/27/14 Super Shuttle $ 290.42 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. 00352832 Fifth Third Bank Terms P.O. Box 740523 Cincinnati, OH 45274-0523 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 2/28/14 2798 Postage $ 50.59 2/28/14 2798 Special projects $ 318.00 2/28/14 2798 Travel expense $ 290.42 2/28/14 2798 Field trips $ 434.00 2/28/14 2798 Classified ads $ 299.00 2/28/14 2798 Bldg repairs & maint. $ 38.24 2/28/14 2798 Other fees & licenses $ 5.00 2/28/14 2798 External instruct $ 1,969.00 2/28/14 2798 Organiz. & membership dues $ 59.00 Total $ 3,463.25 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. 00352832 Fifth Third Bank Allowed 20 P.O. Box 740523 Cincinnati, OH 45274-0523 In Sum of$ $ 3,463.25 ON ACCOUNT OF APPROPRIATION FOR 101 General / 108 ESE/ 109 MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 2798 4342100 $ 50.59 1 hereby certify that the attached invoice(s), or 1125 2798 4359000 $ 318.00 biil(s) is (are)true and correct and that the 1081-99 2798 4343000 $ 290.42 materials or services itemized thereon for 1081-99 2798 4343007 $ 434.00 which charge is made were ordered and 1091 2798 4346000 $ 299.00 received except 1093 2798 4350100 $ 38.24 1094 2798 4358300 $ 5.00 1091 2798 4357004 $ 1,969.00 1093 2798 4355300 $ 59.00 6-Mar 2014 Signature $ 3,463.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund