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Home My WebLink About237895 10/08/2014 (9, CITY OF CARMEL, INDIANA VENDOR: 362732 ONE CIVIC SQUARE PAMELA LISTER CHECKAMOUNT: $"""'382.36' CARMEL, INDIANA 46032 11598 MANSFIELD PLACE CHECK NUMBER: 237895 CARMEL IN 46032 CHECK DATE: 10/08/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4343004 MILEAGE 106.96 TRAVEL PER DIEMS 1207 4239040 REIMB 275.40 FOOD & BEVERAGES 'rescrilied by-Stals Board of Accounts MILEAGE V L A I i General Form No,101(11)55) To- ( c2; (GavernmentaTUnit) DR. On Account of A 0 �rs2+t✓�; pPropriation No. -a t for (Office,Board,Department or Inst 1 tut on) TO FROM ODOMETER READING* MATURE OF BUSINESS DATE AUTO MILES MILEAGE Point Start 1 Finish i @ 20 J Point - / TRAVELED PER MILE vi, q Li l� r s `� VL a Q, 11 J �L N L 3 `1 vl k LL a l L L 3 902 �, w ��. : a �a 9 •� of �. Lk ti marc ;, 3 S12 i n C - O'er 02 ( S .9 Q,2 Auto License No. TOTALS i O * SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map, J Pursuant to the provisions and penalties of Chapter 155,Acts 1953,;l hereby certify that the foregoing account is just and correct,that the amount claimed ally due,after allowing all Just credits, and that no part of the same has been paid • j Claim No. Warrant No. I have examined the within claim chid hereby certify as follows: 1N FAVOR OP That it is in proper forin; A-!NZ That it is duly authenticated as requi .,_..._ ____...•.. _.__ ___._.__....__.. �- by'law. I That it is based upon statutory author That it is apparently {incorrect Account of pp p n No.�for _ I On A. A ro riafio • Disbursing officer Allowed 2Q N tri the sum of$-,�=�L = 96a .R ty Q 0 . . l .� ac 77- ¢� o � _ (Bocad'or Commission) N . I FILED - m (Oificiai Title) �• 0 Chase Online -Account Activity Page 1 of 2 CHASE Search: How can we help you tad q' � r_� � - Chase.com I Contact Us I Privacy Notice I En EspaBol I CHASE ONLINE' Monday,September 29,2014 My Accounts>Account Activity ACC®llflt Activity C Print O Help with this page yye'what C811 4Ve i do better? ,— I'd like to... Stay in touch with account activity.Account Alerts. Monitor your account activity from almost anywhere witll,tep!A�&gail alerts. Enroll. Opens in anew window. Ilo See statements b See account notices / See more choices a Pay Paperless [[��••��;Stop Payment a chase � BIUs t ;'Options tvr;ir;on a Ch¢ck Mobile Activity for.... CHASE PREMIER(...3221) v Show Details for CHASE PREMIER(...3221) Present Balance U Available Balance R Interest YTD Interest rate See full account number O Overdraft Features Show details Transaction Results(1-32)for CHASE PREMIER(...3221) Next All Transactions v] Show —' — View checks by check number) Search Transactions _ I Date Type Description Debit Credit Balance Pending Misc.Debit Pending Misc.Debit Pending Misc.Debit Pending Misc.Debit 09/26/2014 Debit Card Transaction 0926/2014 Debit Card Transaction 0926/2014 Debit Card Transaction i 09262014 Debit Card Transaction U R'MARSH#014 CARMEL IN 09/25 $12.65 09/262014 Debit Card Transaction 09/26/2014 Debit Card Transaction U R'MARSH#014 CARMEL IN 09/25 $96.73 0925/2014 Debit Card Transaction 09/24/2014 Debit Card Transaction HOB-LOB#182 2003 E.G Cannel IN 052448 0924 $166.02 0924/2014 Debit Card Transaction 09/24/2014 Debit Card Transaction 09/23/2014 Bill Payment Onlir. 09/232014 Debit Card Transaction U R'N- 09/23/2014 — 09232014 Debit Card Transaction 0922/2014 Debit Card Transaction UR*.1r'HL.. 092212014 Debit Card Transaction 09/19/2014 ACH Credit _ 09/18/2014 Debit Card Transaction UR•; 09/182014 Debit Card Transaction https://banking.chase.com/AccountActivity/AccountDetails.aspx?AI=28474988 9/29/2014 C- l6 `xp Viv ' - '014 I --Side 2-- 106500000 Floral 3.99 N 50 % Off (7.99-4.00) 106500000 Floral 3.99 N 50 % Off (7.99-4.00) 106500000 Floral 3.99 N 50 % Off (7.99-4.00) 106500000 Floral 3.99 N 50 % Off (7.99-4.00) 106500000 Floral 3.99 N 50 % Off (7.99-4.00) 106500000 Floral 3.99 N 50 % Off (7.99-4.00) SUBTOTAL 166.02 TAX TOTAL 166 . 02 00..+0-00 TOTAL CUSTOMER 66 . uL F 166.02 ACCOUNT #: AUTH#: REF#: 4267150254 CHANGE DUE 0.00 Number of Items Purchased: 44 Total savings: 36.00 Thank You. Please come again. Become a fan on Facebook. Return Policy on back of receipt Visit our website at www.hobbylobby.com I IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII 0182001006110924146 9/24/14 03:54 PM Nosey �o � LOBBY. R � RETURN POLICY Hobby Lobby values customer satisfaction;with or without the receipt. p,; with Original Sales ReceigL- Within 90 days of purchase we will gladly exchange the merchandise,give store credit or issue a refund based on the original method of payment.There will be a wait of 10 calendar days on check purchases,or merchandise credit can be issued. Mhout Original Sales Receipt You may exchange the merchandise or be issued a merchandise credit based on the lowest selling price in the last 60 days.Valid ID is required. We reserve the right to limit or refuse to accept the return of certain products and non-receipted items. Thank you for shopping at Hobby Lobby. E _V f� YOum- HOBBY4& LOBBY 2003 E, Greyhound Pass Carmel, IN 46033 Hobby Lobby Store #182 (317) 818-9217 S-182 R-1 T-0611 SARA P SALE 107500000 Cards&Party 35.99 N 107500000 Cards$Party 2.99 N 107500000 Cards&Party 1.99 N 107500000 CardsWarty 1.99 N 107500000 CardsParty 2.49 N 107500000 CardsWarty 1.99 N 107500000 CardsEParty 1.99 N 107600000 Candles 0.99 N 107600000 Candles 0.99 N 107600000 Candles 0.99 N 107600000 Candles 0.99 N 107600000 Candles 0.99 N 107600000 Candles 0.99 N 107600000 Candles 0.99 N 107600000 Candles 0.99 N 106500000 Floral 1.49 N 50 % Off (2.99-1.50) 106500000 Floral 1.49 N 50 % Off (2.99-1.50) 106500000 Floral 1.49 N 50 % Off (2.99-1.50) 106500000 Floral 1.49 N 50 % Off (2.99-1.50) 105000000 Crafts 2.47 N 105000000 Crafts 2.47 N 107600000 Candles 6.99 N 107600000 Candles 6.99 N 107600000 Candles 1.99 N 107600000 Candles 4.99 N 107600000 Candles 4.99 N 106500000 Floral 2.99 N 106500000 Floral 2.99 N 106500000 Floral 2.99 N 106500000 Floral 2.99 N 106500000 Floral 2.99 N 106500000 Floral 2.99 N 106500000 Floral 2.99 N 106500000 Floral 2.99 N 106500000 Floral 7.99 N 106500000 Floral 7.99 N 106500000 Floral 3.99 N 50 % Off (7.99-4.00) 106500000 Floral 3.99 N 50 % Off (7.99-4.00) --Continued on Side 2-- MARSH # 14 2141:1 E. 116TH STREET CARMEL, IN 46032 (317)575-3650 FRESH IDEA CUSTOMER 40002311379 1714 FD CL.B INST RICE 1 .99 F 2160 GLDNS SQZ MUST 1 .99 F 45 WRIGHT BRASS POL 4.69 T 2160 GLONS SQZ MUST 1 .99 F 2160 GLDNS SQZ MUST 1 .99 F **** TAX .33 BAL 12.98 FRESH IDEA CUSTOMER 40002311379 **** TAX .33 BAL 12.98 TAX EXEMPTION .33- * ** TAX .00 BAL 1 2.fi5 MARSH SUPERMFiRKET 014 2140 E. 116TI-I STREET CARMEL, IN 16032 (317)575-3651) PFT CREDIT PURCHASE 09/2.5/14 01 :58 PM IRD 0 XXXXXXXXXXY AUTH:085813 PAYMENT AMOUNT 12.65 OF CREDIT 12.65 CHANGE .00 TOTAL NUMBER OF ITEMS SOLD = 5 9/25/14 1 :38 PM 0014 05 0163 113 YOUR CASHIER WAS ANN THANK YOU FOR SHOPPING MARSH YOUR HOMEGROWN GROCER SINCE 1931 WE VALUE YOU ! CHECK US OUT: http://www.marsh.nf?f With your Marsh Fresh Idea Card You saved 9212.13 in 2013. You have saved 9176.04 in 2014. Marsh Fresh IDEA Card required for all offers. Thank: you for Shopping Marsh! MARSH # 1 � 214Ci E, 116TH STREET CAR'KEL, IN 96032 (317)575-3650 1291 ORCH APPLE JCE 1291 ORCH APPLE JCE 1 .99 F 1291 ORCH APPLE JCE 1 .99 F 1291 ORCH APPLE JCE 1 .99 F . 1241 ORCH APPLE JCE 1 .99 F 1291 ORCH FIPPLE JCE 1 '99 F FRESH IDEA CUSTOMER 1 ,99 F 90002311379 1281 ORCH APPLE JCE 1241 ORCH APPLE JCE 1 .f9 F 7100 MARSH WHOLE MILKG PC 1 •99 F SC 3380 MARSI.1 WHOLE MILK G 3.39 F 3659 RENU SPR NEUT CTRS PC20-FSC 1722 RENU SPR NEUT CTRS 1 . 79 r 3659 RENU SPR NEUT C19-T Sc 1722 RENURS PC 3coSPR NEUT CTRS 1 • ]9 r 659 RENU 5 9 GLADE' no PWD FRSH ' 19-T PR SC 1722 RENU SPR NEUT 1 .59 T (TRS PC TRS 1 , 19 T 3659 RENU SPR NEUT NEUT CTRS PC SC 1722 RENU SPR 19-T 3659 RENU SpR NEUT CTRS 1 . 19 T SC 1722 RENU SPR NEUT CTRS PC 1�-T NEUT CTRS 1 ' j� T 6 SMU ']'PG STBRY • 19-T Z6 SMU TPG STBRY 2•f9 F 366 HRSITY• OULCE DELECH 2' 99 F 6810 FISHER TOPPING 2.39 F 6810 FISHER TOPPING 1 •`19 F 6810 FISHER TOPPING 1 .`19 F 1@.8958 FEST FIXINGS 1 .99 F 3325 NABUOREOS 3,65 F SC 1586 NAB I_IREO DBLSTF FM PC 99 F 4012 FD DB FM 9.39 F SC 8056 FCI_B TEA BAGS 1 ,O0-F D CL.B TEA BAGS 3. 19 F 9308 FDCLB MIN CHOC CHP �SC 3508 FDCLB CHP 798 BLUE MIN CHOC Z ''9 B 35-18 BELL BRWN RIM 110-8 3548 BLUE BELL BRWN RIM 7.99 F 3544 BLUE BELL BRWN RIM 7, 49 F 35gg BLUE BELL BRWN RIM 7.49 F 3548 BLUE BELL BRWN RIM 7'°19 F BLUTAX BELL 7 BRWN RIM 99 F 60 BAL 7•`19 F TAX EXEMPTION 97.;i3 * TAX .60- .00 BPL 96. 73 MARSH SUPERM1=iRKET -- - _ 2190 E. I q 116TFI STREET - -- - CARMEL, IN '46032(317)575-365x_ EFT rREDIT Pii ARD # "RCHASE 09/25/lq IUTH:099109 ' XXXXXXXXXX) 09x91 flM 'AYMENT AMOUNT ----- 96. 73 IF - CREDIT -----_ _ CHANGE 96. -,,3 TOTAL NUMBER OF .00 ITEMS SOLD = 32 9/25/19 9:42 AM 0019 05 0071 113 ""' CASHIER WAS ANN You t+ - CITY OF 'CARMEL Expense Report (required for all travel expenses) + p l �.cNo,A.ri EXHIBIT A CD DEPARTURE DATE: Q � �� TIME: AM/ o EMPLOYEE NAME: � Li �T�f AM �+ DEPARTMENT: ��D '� &C-6 61LS�a/i2� 6` dA U- RETURN DATE: Q S�'�� TIME J. Q a �C-) . .tea REASON FOR TRAVEL: DESTINATION CITY: E EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM 1 Transportation Gas/Tolls/ Meals —� Date p Lodging Mise. Breakfast Lunch Dinner Sna Air-fare Car Rental Other Parking cks Per Diem . x.:'21:! ..�1'/., •".+J 4!'i'i"'�':'r�;?.'i6'•5 to 5�.,;r11� r ENT: I hereby affir that all expenses enses listed conform to the City's travel policy and'are within my department's appropriated budget. DIRECTOR S STATEMENT: y P Director Signature: !J � Date: ' City of Carmel Form#ER06 Revision Date'10/17/2006 Page 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Pam Lister IN SUM OF $ 11598 Mansfield Place Carmel, IN 46032 $275.40 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 Hobby Lobby 42-390.40 $166.02 1 hereby certify that the attached invoice(s), or 1207 Marsh 42-390.40 $96.73 bill(s) is (are)true and correct and that the 1207 I Marsh I 42-390.401 $12.65 materials or services itemized thereon for which charge is made were ordered and received except Monday, September 29, 2014 Director, Brookshire olf Club Title Cost distribution ledger classification if claim paid motor 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 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)) 09/24/14 Hobby Lobby Banquet Supplies $166.02 09/25/14 Marsh Foods $96.73 09/25/14 I Marsh I Food I $12.65 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 5-11-10-1.6 120 Clerk-Treasurer