The URL can be used to link to this page

Home My WebLink About231229 04/08/14 CITY OF CARMEL, INDIANA VENDOR: 00352832 ONE CIVIC SQUARE FIFTH THIRD BANK CHECK AMOUNT: $*****6,988.81" s_ ,r CARMEL, INDIANA 46032 ACCT NXXXX-XXXX-XXXX-2798 CHECK NUMBER: 231229 PO BOX 740523 CHECK DATE: 04/08/14 CINCINNATI OH 45274-0523 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 2798 3,413.31 TRAVEL FEES & EXPENSE 1091 4340700 2798 69.00 MEDICAL FEES 1091 4341991 2798 79.90 MARKETING & PROMOTION 1091 4343000 2798 268.94 TRAVEL FEES & EXPENSE 1094 4358300 2798 5.00 OTHER FEES & LICENSES 1125 4230200 2798 17.49 OFFICE SUPPLIES 1125 4232100 2798 600.00 GARAGE & MOTOR SUPPIE 1125 4350400 2798 13.98 GROUNDS MAINTENANCE 1125 4355200 2798 204.00 SUBSCRIPTIONS 1125 4359000 2798 2,317.19 SPECIAL PROJECTS ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 6,988.81 MINIMUM PAYMENT DUE 6,988.81 AVAILABLE CREDIT 33,011.19 PAYMENT DUE DATE 04-25-14 CORPORATE ACCOUNT ACTIVITY CARMEL CLAY PARKS&RECREATION TOTAL CORPORATE ACTIVITY )(XXX-XXXX-XXXX-2798 $3,463.25 CR Post Trans Date Date Reference Number Transaction Description Amount 03.17 03-17 75569264076000000000022 PAYMENT RECEIVED-THANK YOU 3,463.25 PY INDIVIDUAL CARDHOLDER:ACTIVITY DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XX)(X-2814 $0.00 $5,190.13 $0.00 $5,190.13 Post Trans Date Date Reference Number Transaction Description Amount 03-03 02.28 55436874059260591505603 SHERATON NY TIMES SQ H NEW YORK NY 827.51 09704433 ARRIVAL:02-27-14 03.03 02-28 55436874059260591505645 SHERATON NY TIMES SQ H NEW YORK NY 827.51 09704434 ARRIVAL:02-27-14 03.03 02-28 55436874059260591505702 SHERATON NY TIMES SQ H NEW YORK NY 827.51 09704435 ARRIVAL:02-27-14 03-03 02-28 55436874059260591505744 SHERATON NY TIMES SQ H NEW YORK NY 930.78 09704436 ARRIVAL:02-27-14 03-10 03-07 55541864068072017070290 DUNKIN#345866 035 CARMEL IN 79.90 03-10 03-09 55436874069730690665191 INTER CHICAGO OHARE HO ROSEMONT IL 268.94 29602361 ARRIVAL:03.07-14 03-13 03-12 55500364072837000076023 MIKES CARWASH 999 INDIANAPOLIS IN 600.00 03-14 03-13 55310204073910000065341 GANDER MOUNTAIN GREENWOOD IN 13.98 03.18 03-17 85180894076980159882803 SMARTWAIVER 541-516-0174 OR 5.00 03-20 03-19 55421354078985363994760 JIMMY JOHN'S#578 CARMEL IN 724.00 03.21 03-19 85180894079980150197422 PRESIDENTS SERVICE 866.545-5307 GA 85.00 MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $0.00 $1,798.68 $0.00 $1,798.68 Post Trans Date Date Reference Number Transaction Description Amount 03-17 03-14 55432864074000440494526 MICHAELS STORES 5807 INDIANAPOLIS IN 17.49 03-17 03-16 05436844076000158141229 MAX&ERMA-CARMEL CARMEL IN 37.32 03-19 03-18 75418234077006623451166 SURVEYMONKEY.COM 971-2445555 CA 204.00- 03-19 03-17 55421354077985330238276 DIVVY CARMEL IN 225.83 03-19 03-18 25536064078104002043456 STONE CREEK ZIONSV ZIONSVILLE IN 227.59 03-21 03-20 55541864079004043037149 HAMPTON INN CARMEL IN 339.15 000005569 ARRIVAL:03.16.14 03-21 03-20 55541864079004043037156 HAMPTON INN CARMEL IN 339.15 000005569 ARRIVAL:03-16-14 03-21 03-20 55541864079004043037164 HAMPTON INN CARMEL IN 339.15 000005569 ARRIVAL:03-16-14 03-25 03.24 55310204084200069200097 ABOUT MY HEALTH COLLINSVILLE IL 69.00 Page 2 of 2 Fifth Third Bank ACCOUNT NUMBER"XXXX XXXX 2798 FIFTH THIRD BANK PO BOX 740523 PAYMENT DUE DATE 04-25-14 CINCINNATI OH 45274-0523 AMOUNT DUE $6,988.81 CURRENT BALANCE $6,988.81 FIFTH THIRD BANK PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT ENCLOSED CARMEL CLAY PARKS & RECR **To005008 CORPORATE BILLING ACCT C/O AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 5569260004422798 0006988810 0006988810 Please tear payment coupon at perforation. STATEMENT MESSAGES I CORPORATE"ACCOUNT SUMMARY CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 03-31-14 PREVIOUS BALANCE 3463.25 PAYMENT DUE DATE 04-25-14 PURCHASES AND OTHER CHARGES 6,988.81 CREDIT LIMIT 40,000 CASH ADVANCES .00 AVAILABLE CREDIT 33,011 CREDITS .00 PAYMENTS 3,463.25- 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 6,988.81 P.O. BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 6988.81 DISPUTED AMOUNT .00 Page 1 of 2 Brown, Jennifer Reservation: 9704434 1411 E 116th St Arrival Date: 02-28-2014 Carmel, IN 46032 Departure Date: 03-03-2014 Receipt No 4243 Date Description Card# Amount 02-27-2014 Mastercard NY 2814 827.51 Total: 827.51 User ID: MRBENEI FEB 2 7 2014 BY: Oz SCC VNIEL OA .-)0 1 G I l i ��pTptJ �,pT�L. Buckingham, Tiffany Reservation: 9704435 1411 E 116th St Arr`�wal Date: 02-28-2014 Carmel, IN 46032 Departure Date: 03-03-2014 Receipt No 4245 Date Description Card# Amount 02-27-2014 Mastercard NY 2814 827.51 Total: 827 51 User ID: MABENEI =BY- Lodyq ED _NAA T 3513 Johnson, Ben Reservation: 9704433 1411 E 116th St Arrival Date: 02-28-2014 Carmel, IN 46032. Departure Date: 03-03-2014 Receipt No 4241 Date Description Card# Amount 02-27-2014 Mastercard NY 2814 827-51 C F '\1ED Total: 827.51 FEB 2 7 2014 BY: 1 User ID: MABENEI —"- LDd9Ln -NASA L'.O4y= 13.dainscn B�5g25 F j HOML Simmonds, Valeska Reservation: 9704436 1411 E 116th St Arrival Date: 02-28-2014 Carmel, IN 46032 Depafture Date: 03-03-2014 Receipt No 4244 Date Description Card# Amount 02-27-2014 Mastercard NY 7814 930.78 Total: %930.78 �ll User ID: MABENEI [.pd,"' NAA 0, \1\1•S+�mfg FEB 27 2014 IBY: -99 L-3LL3000 E5 s INTERCO NTIN I NTAL CHICAGO O'HARE 03-09-14 Mary Evans Folio No. Room No. 0808 14831 bixby drive A/R Number Arrival 03-07-14 Westfield IN 46074 Group Code EWU Departure 03-09-14 United States Company Lifetime Fitness Conf. No. 63356830 Membership No. PC 300224424 Rate Code Invoice No. Page No. 1 of 1 Date I Description I Charges I Credits 03-07-14 'Accommodation 119.00 03-07-14 State Tax 7.14 03-07-14 City Tax 8.33 03-08-14 `Accommodation 119.00 03-08-14 Slate Tax 7.14 03-08-14 City Tax 8.33 Thank you for staying at the Intercontinental Chicago O'hare. Qualifying points for this stay Total 268.94 0.00 will automatically be credited to your account. To make additional reservations online, update your account information or view your statement please visit www.priorityclub.com. We look forward to welcoming you back soon. Balance 268.94 Guest Signature: I have received the goods and/or services in the amount shown hereon.I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer 3 c�0 Co 0 0 0 INTERCONTINENTAL CHICAGO O'HARE 5300 River Road Rosemont, IL 60018 Telephone: (847)544-5300 Fax: (847)447-4281 Mike's Express Carwash 10251 Hague Road Quote#: PAID Indianapolis, IN 46256 Office: 317-572-9250 Fax: 317-572-9251 Dawn Koepper Phone: (317)573-4026 Date: 3/13/2014 Carmel Clay Parks Fax: 1411 E 116th St Email: dkoepper@carmelclayparks.com Carmel, IN 46032 Qty Item # Name Price Total 1 Fleet Carwash-100 $600.00 $600.00 flee-- car v k c� - C 73CoF 112.5-� Dt --t12�21 DO Sub Total $600.00 Shipping & Handling Taxes 0.000% $.00 TOTAL $600.00 Comments: paid by cc xxxx xxxx xxxx 2814 Office Use Only: Thank you For your business. Si jartwaiver Invoice #52183126 A-14 �� Pabe 1 of 1 233 SW Wilson Ave.. Suite I Bend, OR 97702 Phone: 800-277-0265 Email: cs@smartmvaiver.com Invoice #: 521 83126 Invoice Date: 03/17/2014 =MARIUsername: moron Service Plan: Smartwaiver Service Plan -- Description Price USD Smartwaiver Service Plan $5.00 Payment Received 03/17/2014 (Card: XXXX-XXXX-XXXX-2814) - Thank you! $5.00 Ending Balance USD: $0.00 glove gorier \NzNev5 https://www.smartwaiver.com/m/chargi fy_parent/sw_charoify_mai►l.php?svv_chargemain_... 3/17/2014 J' my John's atering Order Form f Name: 1LS' Time: Initial: Address: / Unit# Phone: 5--/S- - q0 26 _B s Name., 4413(8 Pick Up Date&Time: or Delivery Date&Time: Boxed Lunches =-Box, Party Platters = 15 Pc.or 30 Pc.,2ft Party Sub = 2',4',6' Indicate sandwich type(and chips if box lunch) and any special instructions.All sandwiches will be made on our French sub roll.Only sandwiches 7 through 16 have the option of wheat slices. Circle one^\ Sandwich #'s Chip Special Instructions Total Box 15p 30pc � ^� 2' 4' b Box 15p \Op9} d _ 2' 4' 6 Box 15pc 30pj 2' 4' Box I Spc 30p)c 2' 4' ' lox 14' 3�6, Box 15pc fOpc} l 2' 4 6' Box 15pc Opc 2, 4, Box 15pcOpc) 2' 4' Box 15pc tOpc l 2' 4' 6 Box 15pc 30pc 2' 4' 6' $ Bo 15pc 30pc 4' 6' LL NOMAM . __ _-- s 02h) 7,IZZ B x 15pc 30pc l j 2'_ 4' 6' ,;�10ILL 1GLle_- q I 2 Box 15pc 30pc 13 J 4� 4' 6' ]J� (.. 1 l d A- k 'D iG �' c-6 . n w Subtotal $ Sides That Rock! # r KE-4— DIFT # c -Esq___--#- T:HER #j Pig,n ""'JALEPEf�iO#— —BB' SACT&VINEGAR OTHER $ �"" # ChoE Ehip"# Oa`t-RaiiF"-# —- -PICKLE"'##-`"'"'--Cjl'HR FIFER'$ f �'� CAPRA LUNC�I 3.19.1+ fo S 'i Special Notes: pot. 3(-753 Sub Total_ $ �T = W Payment Information Billing Info:(Account#& Exp.Date,if needed) Same as Above!!! Totals from Above $ Name . Sales Tax Company Delivery Fee,$ Billing Address _' Total Due $ Credit Card# Exp. Check: add .50 } 1916379 i Dawn Koepper From: Camille Nelsen Sent: Wednesday, March 19, 2014 1:14 PM To: Dawn Koepper Subject: FW: Your President's Volunteer Service Awards Order: 59910417-872763 Camille Nelsen Volunteer Coordinator MAR 1 g 2014 Carmel Clay Parks& Recreation REStDF1'1TS .. JIC� >Q1NA 1235 Central Park Drive East BY' Carmel, IN 46032 317.$43.3868 From: inquiries@presidentialserviceawards.gov [mailto:inquiries@presidentialserviceawards.gov] Sent:Wednesday, March 19, 2014 11:26 AM To: Camille Nelsen Subject: Your President's Volunteer Service Awards Order: 59910417-872763 Camille Nelsen, Volunteer Coordinator, Thank you for your recent order. This email is to confirm that your order has been received. If you paid by check please see the instructions below. Your order number is 59910417-872763. If you have any questions please contact us at p�-s_lsti �ort�r',t�rsi�lc�ttial5rti ic�t�ti jres }v. YOUR ORDER ORDER NUMBER: 59910417-872763 ORDER DATE: 2014-03-19 11:26:00.0 ORDER DELIVERY: Rush CEREMONY DATE: 04/17/2014 SHIP TO: Carmel Clay Parks & Recreation Camille Nelsen, Volunteer Coordinator Monon Community Center 1235 Central Park Drive East Carmel IN 46033 cn�]senri��carmelclavparl:s.coiu ORDER DETAILS i 1. Carmel High School BRONZE Group S 4.75 2. Carmel Mayor SILVER Group $ 4.75 3. Paymon Baygani BRONZE Individual $ 4.75 4. Amber Budnick BRONZE Individual $ 4.75 5. Alexis Tews BRONZE Individual $ 4.75 6. Annette Pettigrew BRONZE Individual $ 4.75 7. Ronald Pettigrew BRONZE Individual $ 4.75 8. Maryann O'Connor BRONZE Individual $ 4.75 9. Harshita Sangaraju SILVER Individual $ 4.75 10. Katie Zeller GOLD Individual $ 4.75 Award Total: $ 47.50 Shipping: $ 8.00 Handling: $ 4.50 Rush Fee: $ 25.00 TOTAL ORDER $ 85.00 BALANCE: $0.00 PAYMENT: CC QUESTIONS? If you have questions about your order or the President's Volunteer Service Awards program, here's how you can contact us. For questions or support go to: Ilttl_/,/ Vwkv,p res'l d C.11fia I sery iC�,owards.-,,o t /1141 p"d: oI`cedbac k.cfli1 Address: President's Volunteer Service Award C/O Points of Light Institute 600 Means Street NW, Suite 210 Atlanta GA 30318 Fax: Email: inquiric ti!ir-prsicil� c �, THANK YOU FOR YOUR ORDER! 2 N VOR ACCRFQ'�9 CCURVisitation Team Itinerary RECREAhO 01 Time Event Staff Liaison 3:46 pm Bill Foelsch's flight arrives,(united4395 from Newark) Michael Klitzing 8:10 pm Jill Wait's flight arrives(Southwest226from Denver) Mark Westermeier 8:36 pm Linda Smith's flight arrives(Delta 3439 from Raleigh-Durham) Time Event Staff Liaison 6:00 am Free breakfast service begins at Hampton Inn n/a 8:00 am Pick up CAPRA Visitors from Hampton Inn Mark Westermeier 8:10 am Arrive at Administrative Office; Introductions and orientation Michael Klitzing Noon Lunch at Administrative Office Sandi Young & Joining for Lunch: All CAPRA Team Chairs(11+3 visitors= 14) Michael Klitzing 6:00 pm City Council Meeting (Introduction of CAPRA Visitation Team at start Mark Westermeier of meeting) 6:30 pm Tour of Carmel City Center and The Center for the Performing Lindsay Labas Arts 7:30 pm Dinner at Divvy Mark Westermeier& Joining for Dinner: Jim Engledow,Board President;Jenn Kristunas, Board Michael Klitzing Treasurer-Kurtis Baumgartner, MCC Director;Eric Mehl,MCC Assistant Director;Lindsay Labas,Marketing Director(10 total) .4 f 4 M-Y-44 Time Event Staff Liaison 6:00 am Free breakfast service begins at Hampton Inn n/a 8:00 am Pick up CAPRA Visitors from Hampton Inn Mark Westermeier Noon Lunch at Administrative Office Sandi Young & Joining for Lunch: Traci Broman,Events Supervisor;John Gates, Park Michael Klitzing Maintenance Director;Jeff Kramer,Training Manager;Todd Snyder,Park Maintenance Manager;Mary Evans,Fitness Supervisor;Matt Leber,-Adult Programs Supervisor;Amy Baldauf,Smoky Row ESE Site Supervisor(12 total) CAPRA CCPR Visitation Team Itinerary 2:30 pm— Driving tour of eastside parks Mark Westermeier 4:00 pm Locations: Inlow Park,White River Greenway,River Heritage Park, Founders Park&Flowing Well Park 4:00 pm— Forest Dale Extended School Enrichment site visit Ben Johnson & 4:30 pm Joining from Carmel Clay Schools: Steve Dillon,Director of Student Valeska Simmonds Services;Kathie Freed,School Board appointee to Park Board 4:45 pm— Monon Community Center tour Kurtis Baumgartner& 6:00 pm Eric Mehl 7:30 pm Dinner at Stone Creek Dining Company Mark Westermeier& Joining for Dinner: Rich Taylor,Board Vice President;Jm+v +rrstr,-0trard• Michael Klitzing 3rCrR-MP Ben Johnson, ESE Director;Audrey Kostrzewa, Business Services Director;Lynn Russell,HR Director(total 10)4- 1 i • Time Event Staff Liaison 6:00 am Free breakfast service begins at Hampton Inn; CAPRA Visitors n/a should check out prior to 8 am pick-up 8:00 am Pick up CAPRA Visitors with luggage from Hampton Inn Mark Westermeier Noon If Visitation Report completed: Sandi Young& Lunch at Monon Community Center(Multipurpose Room B) Michael Klitzing with all available CCPR staff(need estimated number) If time needed to complete Visitation Report: Working lunch at Administrative Office 1:00 pm* Exit interview with CAPRA Team Chairs Mark Westermeier& Michael Klitzing 2:00 pm Depart Carmel for airport Michael Klitzing 4:15 pm Jill Wait's flight departs(Southwest 1192) 4:16 pm Bill Foelsch's flight departs(United 4395) 4:45 pm Linda Smith's flight department(Delta 3960) All times and arrangements subject to change Last Updated: 3/14/14 Page 2 4/1/2014 Invoice No.22425533 e Survey Mon keyo Invoice #22425533 APR - 1 2014 Close Print Mar 18, 2014 BY; � Paid on March 18, 2014 DESCRIPTION USER NAME BILLING PERIOD QUANTITY PRICE AMOUNT Select Yearly Plan LynnRussell Mar 18,2014-Mar 17,2015 1 $204 $204 Total:$204 BILLING DETAILS NOTES Michael Klitzing Subscription Renewal Charge Carmel Clay Parks &Recreation 1411 E. 116th Street Carmel Indiana 46032 United States 317-573-4021 Purchase Order Number: PAYMENT INFORMATION Payment made on March 18,2014. L•��-� Payment Method:MASTERCARD Card Number(last 4 digits):2421 https://w.vw.sur\eymonkey.con-Vbilling/invoice/22425533/497eO2724eO9f33ccbcO8Oee5bca6O7b2b2agf558cffd6a865dddl4d6b00aa47 1/2 4/1/2014 Invoice No.22425533 SurveyMonkey 285 Hamilton Avenue,5th fl.,Palo Alto,CA 94301 Our Tax ID(BN):37-1581003.Contact:billing@surveymonkey.com https://w wv.surA,y mnk-y.com/bi l l i ng/i nvoi ce/22425533/497e02724e09f33ccbcO80ee5bca607b2b2a9f558cffd6a865dddl4d6b00aa47 2/2 Ip u room: 4/1/2014 surver� ,,,�,. ._ _odPricing i ® LynnRussell Home My Surveys Survey Services Plans 8 Pricing +Create Survey BASIC SELECT GOLD PLATINUM Free $17 per month* $25 per month* $65 per month* Billed$204 annually Billed$300 annually Billed$780 annually Your Plan Upgrade »l Upgrade » 1 Features include: BASIC features + SELECT features + GOLD features + 10 questions per survey Unlimited questions Unlimited questions Unlimited questions 100 responses per survey Unlimited responses Unlimited responses Unlimited responses Easy-to-use web-based survey tool Custom survey design&URLs Custom redirect after survey is Complete brand control with completed Research.net Collect data via weblink,email, Enhanced security(SSL/HTTPS) Your own research.net survey Facebook,or embed on your site or included Advanced logic features: URLs blog • Random assignment for AB You control how your survey looks Skip-logic&other advanced features testing including adding your logo&brand Real-time results • Question&answer piping colors Excel export&printable PDF Question randomization or flipping 24x7 email customer support HIPAA-compliant features Text analysis for open responses Expert phone support to answer any SPSS integration of your questions See all features... See all features... See all features... See all features... Need more than one account? SurveyMonkey Enterprise does it all. Give anyone in your organization all the powerful features of a PLATINUM plan. For a low monthly price per user,we Sign Up for Enterprise make it easier to manage data,users,and billing. Community: Developers • Facebook Twitter • Linkedln • Our Blog • Google+ • YouTube About Us: Management Team • Board of Directors • Partners • Newsroom • Contact Us • Jobs • Sitemap • Help Policies: TermsofUse • Privacy Policy • Anti-Spam Policy • Security Statement • --EmailOpt-In-- IV't Language: English Espanol • Portugues • Deutsch • Nederlands • Frangais • PyccKHH • Italiano • Dansk • Svenska • 1-144. LF�Oi T0rk9e Norsk • Suomi https:/Amwv.sur\ey mnlcey.conVprici ng/upg rade/quick\iew/?ut_source=header log g edIn 1/2 g f ° e 1 12197 North Meridian•Carmel, IN 46032 USA Phone(317)843-1100 • Fax(317)705-9875 official Swsor If the debit/credit card you are using for check-in is attached to a bank or checking account,a hold WAIT,JILL name room number: 511/SXQL will be placed on the account for the full anticipated 1411 E. 116TH ST. address arrival date: 3/16/2014 9:38:00 PM departure date: 3/19/2014 dollar amount to be owed to the hotel,including CARMEL IN 46032 estimated incidentals,through your date of check-out UNITED STATES OF AMERICA adult/child: 1/0 and such funds will not be released for 72 business room rate: 113.05 hours from the date of check-out or longer at the discretion of your financial institution. HH# AL: Car: Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value Confirmation Number:87010956 unattended in your room.A safety deposit box is available for you in the lobby.I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full amount of these charges.In the event of an emergency,I,or someone in my party,require 3/18/2014 Page: 1 special evacuation assistance due to a physical disability.Please indicate yes by checking here signature: date reference description amount 3/16/2014 862770 GUEST ROOM EXEMPT $113.05 3/17/2014 862987 GUEST ROOM EXEMPT $113.05 3/18/2014 863198 GUEST ROOM EXEMPT $113.05 WILL BE SETTLED TO MC 2421 $339.15 EFFECTIVE BALANCE OF $0.00 MAR 2 12014 BY: for reservations cafl.800.hampton or visit us online athampton.com thanks. account no. date of charge folio/check no. 295132 A card member name authorization initial 7 establishment no.and location establishment agrees to transmit to card holder for payment purchases&services taxes tips&misc. signature of card member X total amount 0.00 ``r U HILTON 4`� CONRAD ,) 3J �,` � HOMEwOOD Hilt omuwe: ®cw,u-ntno J/M+c,�n, swres HOME© rr�t,�,�� n. HHONORS �.,.,,,.,,.�.... Hilton ntxnnaaf:c .,... -+F�....,,.. ............. or:rr�dva�•:,m�rr, � r r 12197 North Meridian•Carmel, IN 46032 USA Phone(317)843-1100 • Fax(317)705-9875 OM Official Sponsor If the debit/credit card you are using for check-in FOELSCH,BILL is attached to a bank or checking account,a hold name room number: 222/SXQL will be placed on the account for the full anticipated 1411 E. 116TH ST. address arrival date: 3/16/2014 7:51:00 PM dollar amount to be owed to the hotel,including CARMEL IN 46032 departure date: 3/19/2014 estimated incidentals,through your date or dledcout and such funds will not be released for 72 business UNITED STATES OF AMERICA adult/child: 1/0 room rate: 113.05 hours from the date of check-out or longer at the Rate P1819! IACAUA discretion of your financial institution. HH# AL: Car: Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value Confirmation Number:87010956 unattended in your room.A safety deposit box is available for you in the lobby. I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full amount of these charges.In the event of an emergency,I,or someone in my party,require 3/18/2014 Page: 1 special evacuation assistance due to a physical disability.Please indicate yes by checking here: signature: A date reference description amount CJ 3/16/2014 862738 GUEST ROOM EXEMPT $113.05 3/17/2014 862918 GUEST ROOM EXEMPT $113.05 3/18/2014 863129 GUEST ROOM EXEMPT $113.05 WILL BE SETTLED TO MC 2421 $339.15 EFFECTIVE BALANCE OF $0.00 MAR 2 1 2 114 BY: for reservations cafl.800.h6mpton or visit us online athampton.com thanks. account no. date of charge folio/check no. 295131 A card member name authorization initial establishment no.and location establishment agrees to transmit to card holder for payment purchases&services taxes tips&misc. signature of card member X total amount 0.00 t�g„„� FIOMEw", r.DI H I LTO N o-:arooa: CONRAD I6d7Gmth-n inn c/Ip^rormm, sulrrs HOME rem,, Hilton �... ,.. n„t,nf.nf,nn. n. HHONORS lSiCRW •••,"•••".,"• —,,,,...., Ikxlut Gl F'.!.I .."",. 11®®1'YB• r r 12197 North Meridian•l.errnel, IN 46032 (U�SA� Phone(317)843-1100 • Fax(317)705-9875 OC_7C�' offid.15po 1 If the debit/credit card you are using for check-in SMITH, LINDA is attached to a bank or checking account,a hold name room number: 423/SXQL will be placed on the account for the full anticipated 1411 E. 116TH ST. address arrival date: 3/16/2014 9:37:00 PM dollar amount to be owed to the hotel,including CARMEL IN 46032 departure date: 3/19/2014 estimated incidentals,through your date of check-out and such funds will not be released for 72 business UNITED STATES OF AMERICA adult/child: 1/0 room rate: 113.05 hours from the date of check-out or longer at the discretion of your financial institution. HH# AL: Car: Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value Confirmation Number:87010956 unattended in your room.A safety deposit box is available for you in the lobby.I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full amount of these charges.In the event of an emergency,I,or someone in my party,require 3/18/2014 Page: 1 special evacuation assistance due to a physical disability.Please indicate yes by checking here: signature: date reference description amount top 3/16/2014 862762 GUEST ROOM EXEMPT $113.05 3/17/2014 862971 GUEST ROOM EXEMPT $113.05 3/18/2014 863182 GUEST ROOM EXEMPT $113.05 WILL BE SETTLED TO MC 2421 $339.15 EFFECTIVE BALANCE OF $0.00 FY- ___ 2014 for reservations calt.800.hampton or visit us online athampton.com thanks. account no. date of charge folio/check no. 295130 A card member name authorization initial establishment no.and location establishment agrees to transmit to card holder for payment purchases&services taxes tips&misc. signature of card member X total amount 0.00 ,'••,"'••••'••• .,,,....v.., , "°"" "° If ° HILTON% HoMEQ -CONRAD sTT[s CALDORF Hilton nHHON ORS ASTORW ^"",- , � �. h lob ABOUT MY HEALTH Invoice 2737 Sutton Ave Saint Louis. MO 63143 143 Date Invoice# 866-926-4669 1 3/24/2014 1719 infio@aboUtIllyllealth.LIS Il `>!t Bill To Cannel Clay Parks&Recreation Attn:Lynn Russell P:317-573-4019 E: LRtissellacarnielcia%.Iparks.coni IRR C MAR 2 7 2014 BY: Item Quantity Description Rate Serviced Amount 5 Panel Drug"lest I Amphetamines 69.00 3/24/2014 69.00 Cocaine Marijuana Opiates Phencyclidine -Shauna Lewallen Paid in full Paid in full -I00M0% 3/24/2014 -69.00 -7c) paid in full,thank YOU for your business. $0.00 Total Fifth Third IVendor _ Fund 101_ _ �_ Garage & I Other Office Motor Subscripti Grounds Special Travel Marketing Travel fees & Medical Supplies supplies ons Maint. Projects Expenses & Promos expenses licenses Fees Fifth Third Bank j 1125 1125 1125 j 1125 1125 1081-99 1091 1091 1094 1091 V#3542961 1 42302001 42321001 43552001 43504001 43590001 43430001 4341991 43430001435830014340700 $` - 6,988.81 $ 17.49_ $ 600.00 1 $ 204.00 $ 13.98 1 $ 2,317.19 $ 3,413.31 1 $ 79.90 $ 268.94 $ 5.00 $ 69.00 02/27/14 1 Sheraton Hotel j $ 827.51 02/27/14�Sheraton Hotel $ 827.51 02/27/14 Sheraton Hotel $ 930.78 02/27/14 Sheraton Hotel j _ 1 $ 827.51 03/07/141 Dunkin Donuts $ 79.90 03/09/14 Intercontinental _( $ 268.94 { 03/13/14Mikes Car Wash $ 600.00 j 03/14/141 Michaels $ 17.49 03/13/14 Gander Mtn $ 13.98 03/17/14ISmartWavier 1 I $ 5.00 03/19/14IJimmy Johns $ 724.00 ( � 03/19/14 President Awards �— $ 85.00 1 �_ 03/19/14 Hampton $ 339.15 03/19/14 Hampton I_ I $ 339.15 I 03/19/141 Hampton $ 339.15 03/18/14,Stone Creek 7-1 $ 227.59 1 03/17/14 Divy —I $ 225.83 l 03/16/141 Max & Erma $ 37.32 1 j I $ 03/24/141About my Health � �� —I 69.00_ 03/18/14ISurvey Monkey I $ 204.00 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 3/31/14 2798 Office supplies $ 17.49 3/31/14 2798 Garage Motor supplies $ 600.00 3/31/14 2798 Subscriptions $ 204.00 3/31/14 2798 Grounds maintenance $ 13.98 3/31/14 2798 Special Projects $ 2,317.19 3/31/14 2798 Travel expenses $ 3,413.31 3/31/14 2798 Marketing & Promo - $ 79.90 3/31/14 2798 Travel expenses $ 268.94 3/31/14 2798 Other fees & licenses $ 5.00 3/31/14 2798 Medical fees $ 69.00 Total $ 6,988.81 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$ $ 6,988.81 ON ACCOUNT OF APPROPRIATION FOR 101 General / 108 ESE / 109 MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 2798 4230200 $ 17.49 1 hereby certify that the attached invoice(s), or 1125 2798 4232100 $ 600.00 bill(s) is(are)true and correct and that the 1125 2798 4355200 $ 204.00 materials or services itemized thereon for 1125 2798 4350400 $ 13.98 which charge is made were ordered and 1125 2798 4359000 $ 2,317.19 received except 1081-99 2798 4343000 $ 3,413.31 1091 2798 4341991 $ 79.90 1091 2798 4343000 $ 268.94 1094 2798 4358300 $ 5.00 1091 2798 4340700 $ 69.00 3-Apr 2014 ��"Allw� Signature $ 6,988.81 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund