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240995 01/13/15
u ��q CITY OF CARMEL, INDIANA VENDOR: 00352832 a; �b ONE CIVIC SQUARE FIFTH THIRD BANK CHECK AMOUNT: $*****4,346.05* r a4' CARMEL, INDIANA 46032 ACCT#XXXX-XXXX-XXXX-2798 CHECK NUMBER: 240995 PO BOX 740523 CHECK DATE: 01/13/15 CINCINNATI OH 45274-0523 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4346000 PARKS 133.07 CLASSIFIED ADVERTISIN 1091 4340700 PARKS 138.00 MEDICAL FEES 1091 4355200 PARKS 1,225.00 SUBSCRIPTIONS 1093 4350000 PARKS 1,849.12 EQUIPMENT REPAIRS & M 1125 4343000 PARKS 487.00 TRAVEL FEES & EXPENSE 1125 4359000 PARKS 269.86 SPECIAL PROJECTS 1125 R4355300 37903 PARKS 244.00 ILLINOIS IPRA rim ul Fifth Third Barak ACCOUNT NUMBERXXXX XXXX XXXX 2798 FIFTH THIRD BANK PO BOX 740523 PAYMENT DUE DATE 01-26-15 CINCINNATI OH 45274-0523 AMOUNT DUE $4,346.05 CURRENT BALANCE $4,346.05 FIFTH THIRD BANK PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT ENCLOSED $ CARMEL CLAY PARKS & RECR T000aosz CORPORATE BILLING ACCT C/O AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 5569260004422798 0004346052 0004346052 Please tear payment coupon at perforation. - n•` ,., -. -•ag::c%t^�:,.:r.,.rr•4�,�'-,�??T'.'i�:��3�.a"�`, Ff 3%���Y �°X^t-3�tr�dflR'r�,",t�...;.T-.=.�",i�`;Y�-^����,jc�.%.�,;�aa;:gc;, • ti�� STATEMENT�MESSAGESf_x �-,�,�� �-N.j_:,:...,.�,3,<:vz. -;�: .>;_ .x:G::.. '�L•.:. tw'C.�:..r,.4;c::zc�'sr�,.:w:-.,r.:aa�w.:�:.pax,Hcax'sc5,�:�euawx=.,,.d��w»�'fd,�',�„ ..:e .+n:1.;.»:.r..�':� �e JAN 05 2m BY: -` :'t::•_ `%7,6EAC ..'"T.F4yr+*g'T .• -Pr<• ,Gr '1 '.,.+ n, �fi 'n 'r 'L 4i;�,'.�s "' wCORPORAT ,COUNTSUMMARY. ar >`_;• '$ CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 12-31-14 PREVIOUS BALANCE 5,548.13 PAYMENT DUE DATE 01-26-15 PURCHASES AND OTHER CHARGES 4,346.05 CREDIT LIMIT 40,000 CASH ADVANCES .00 AVAILABLE CREDIT 35,654 CREDITS .00 PAYMENTS 5,548.13- 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 4,346.05 P.O.BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 4,346.05 DISPUTED AMOUNT .00 Page 1 of 2 ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 4,346.05 MINIMUM PAYMENT DUE 4,346.05 AVAILABLE CREDIT 35,653.95 PAYMENT DUE DATE 01-26-15 R IMPin! C.I R, C7 1 , PI(DRAME1 -,t-—*Qsl: IM, e I I::: CARMEL CLAY PARKS&RECREATION TOTAL CORPORATE ACTIVITY XXXX-XXXX-XXXX-2798 $5,548.13 CR Post Trans Date Date Reference Number Transaction Description Amount 12-09 12-09 75569264343141209000061 PAYMENT RECEIVED-THANK YOU 1,554.00 PY 12.15 12-15 75569264349141215000760 PAYMENT RECEIVED-THANK YOU 3,994.13 PY A RF R�—. Nn E CARDHOLDER MIMI W DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2814 $0.00 $3,477.05 $0.00 $3,477.05 Post Trans Date Date Reference Number Transaction Description Amount 12-01 11-30 75418234334011914945826 FACEBOOK HB8PL66HA2 650-6187714 CA 34.07 12-10 12-09 75418234343012158897599-- _LYNDA.COM,INC.888-3359632 CA _,-___ _ ,-_ - _ ,, 25.00 7�:�5543168743442163444245489 SHERATON CHICAGO HOTECC91CA66 -- .208.36 05056515 ARRIVAL:12-09-14 12-16 12-15 55429504349603429098683 ZIPRECRUITER,INC.8772521062 CA 99.00 12-16 12-15 85140514349900016600168 MRSUPPLY.COM 2019940001 NJ 1,849.12 12-22 12-19 55480774353200215200314 WHENTOWORK 07143899695 CA 1,200.00 12-31 12-30 35505904365020172756534 COACHUSA/MEGABUS WWW.MEGABUS.0 NJ 61.50 MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $0.00 $869.00 $0.00 $869.00 Post Trans Date Date Reference Number Transaction Description Amount 12-02 12-01 55310204336200069200119 ABOUT MY HEALTH COLLINSVILLE IL 69.00 12-05 12-03 55432864338000885296412 SOUTHWES 5262411800-435-9792 TX 386.20 KILITZINGIMICHAEL WAY Departure Date 01.15-15 IND WN R LAS WN 0 IND 12-08 12-04 55541864339004090108039 MANDALAY ROOM RESERVAT LAS VEGAS Ill 100.80 000005569 ARRIVAL:12-03-14 12-15 12-12 75306374347320100462445 ILLINOIS PARK RECREAT 708-5882280 IL 244.00 12-17 12.16 2-16 55310204351200069300075 ABOUT MY HEALTH COLLINSVILLE IL 69.00 Page 2 of 2 •� 6/3 Facebook,Inc. O� Account:244124922270616 1601 Willow Road 1550 Redsunset Drive Menlo Park,CA 94025-1452 Brownsburg, IN 46112 United States United States t DEC - 2 2014 Transaction#612722185506612-1030729 t''' �.S j. Description Facebook Ads Payment Account 244124922270616 ph-0-fL MA,- ok l—ECL7-UI 1 WeC4 Transaction Date 11/30/2014 3:13prn Total Payment $34.07 USD Method MasterCard xxxx xxxx xxxx 2814 Status Payment Completed Billing Activity For advertising services provided from 11/24/2014 12 00am to 11/2512014 12:00am Ad ID Ad Name Details Amount 6017336730130 Post:/carmelclayparks/posls/10152421330901811 to all 1,229 impressions $2.33 USD Total 52.33 USD Billing Activity For advertising services provided from 11/23/2014 12 00am to 11/24/2014 12:00am Ad ID Ad Name Details Amount 6017336730130 Post:/carmelclayparks/posts/10152421330901811 to all 3,829 impressions 57.88 USD Total $7.88 USD Billing Activity For advertising services provided from 11/22/2014 12:00am to 11/23/2014 12:00am Ad ID Ad Name Details Amount 6017336730130 Post,/carmelclayparks/posts/10152421330901811 to all 4 impressions 50.05 USD Total S0.05 USD Billing Activity For advertising services provided from 11/22/2014 12 00am to 11/23/2014 12:00am Ad ID Ad Name Details Amount 6017336730130 Post./carmelclayparks/posts/10152421330901811 to all 1,407 impressions S6.46 USD Total 56.46 USD Billing Activity For advertising services provided from 11/21/2014 12:00am to 11/22/2014 12:00am Ad ID Ad Name Details Amount 6017336730130 Post:/carmelclayparks/posts/10152421330901811 to all 566 impressions S10.66 USD Total 510.66 USD Billing Activity For advertising services provided from 11/20/2014 12:00am to 11/21/2014 12:00am Ad ID Ad Name Details Amount 6017336730130 Post:/carmelclayparks/posts/10152421330901811 to all 2.217 impressions $6.64 USD Total 56.64 USD Billing Activity For advertising services provided from 11/2012014 12:00am to 11/21/2014 12*00am Ad ID Ad Name Details Amount 6017336730130 Post:/carmelclayparks/posts/10152421330901811 to all 8 impressions $0.04 USD Total S0.04 USD Billing Activity For advertising services provided from 11/19/2014 12 00am to 11/20/2014 12:00am Ad ID Ad Name Details Amount 6017336730130 Post:/carmelclayparks/posts/10152421330901811 to all 1 impression 50.01 USD Total $0.01 USD �CEIVED DEC Y O �� _ 2014 -I3 ittC3iCe IN', i,a ; t Y: Inv ount at A002Decem 880 / 4l Invoice date December 09,2011 � Payment clue date December 09,201-1 PD# Customer ;t;:: rf;li3�j�;31 Sold to Bill to Cassie Streeter Cassie Streeter Cassie Streeter Dawn Koepper .411 E. 116th Street 141 1 E. 116th:Street Carmel, Indiana.46032 Carmel, Indiana.46032 United States United States Beier@carmelc ayparks.com cstreeier@carmelclayparb.s.coM 1 Order details Description Period Subscription ID. Amount Standard Monthly Fee 1210912014-01/08/20 15 A-S0000363<i USC$25.00 Discount USD$0.00 Tax USD$0.00 Total USD$25.00 Transactions Date Number Type Description Amount 12/09/2014 P-00845403 Payment ($25.00) Balance due $0.00 A slnCie LISf.1.'!IC4nFe's nU:for nSi.:on a network i)r in t+shared environment. For Maio-user ac;:ount iritnfn1a:;0t1 please ornail sales(c�lyn com. Notes Order and payment support Remittance by check ACH or wire transfer cs(i lynda.rcm lynda corn,Inc. Account narne lynda.com,Inc. F(8051477-5504 PO Box 848527 Bank Wells Fargo Bank,N.A Los Angoles,CA 90084-8527 Swift code VArFBIUSES Account no. 0784236408 ACH routing no. 121042882 Wire routing no. 121000248 �I-ase reference°r,voice number on a!:payments ror proper credit. P� JAN 052015 3 * by : IT RECEIPT **************************************************** Broman, Traci Reservati.on: 5056515 1.411 E. 11-6th Street Arrival. Date: 01-09-2015 Departure Date: 01.-11-2015 Carmel, IN 46032 Recei.pt No 11690 Date Description Card# Amount 1.2-09-2014 Visa/Mastercard 281.4 208 .36 Total.: 208 .36 User ID: MVANBROE awwrw EsPA &rif-waic& N25-a - 433 L'o() ^Receipts I ZipRecruiter Page 1 of 2 F641- Xx Receipts ���� �q� " `�3�} 000 View your complete purchase history. You can view and print receipts below. ZipRecrLrrter Subscription Plan Starter Plan (s): Company Name: Carmel Clay Parks & Recreation Purchased By: Billing Date: 12/15/2014 Credit Card Billed: XXXX-XXXX-XXXX-2814 Name on Card: Dawn Koepper Payment Amount: $99.00 ZipRemliter P '1i1 5/20rt ' Subscription Plan Starter Plan (s): Company Name: Carmel Clay Parks & Recreation Purchased By: Billing Date: 11/15/2014 Credit Card Billed: XXXX-XXXX-XXXX-2814 Name on Card: Dawn Koepper Payment Amount: $99.00 ZipReCr"L.Ilter '10/15120'4 https://ww\v.zipreeruiter.com/user/receipts 12/16/2014 Receipts ( 7ipRecruiter Page 2 of 2 Subscription Plan Starter Plan (s): Company Name: Carmel Clay Parks & Recreation Purchased By: Billing Date: 10/15/2014 Credit Card Billed: XXXX-XXXX-XXXX-2814 Name on Card: Dawn Koepper Payment Amount: $99.00 ORecruiter 09/15/2014 Subscription Plan Starter Plan (s): Company Name: Carmel Clay Parks & Recreation Purchased By: Billing Date: 09/15/2014 Credit Card Billed: XXXX-XXXX-XXXX-2814 Name on Card: Dawn Koepper Payment Amount: $99.00 https://\N�vw.zipi-ecruitei-.com/user/receipts 12/16/2014 Page 1 of 2 V.T, r J Fb 3 I � a DEC I Y INVOICE Date: 12/12/2014 10:37:41 Grant Supplies n ; !1IV Order No.: x/85548 630 Huyler St., South Hackensack j Order status: Processed 07606, New Jersey Payment method: United States Credit Card CALL US: 1-888-884-0911 Delivery method: Fax: 1-201-994-0003 Ground E-Mail: support@mrsupply.com Company: Carmel Clay Parks & Recreation First Name: Dawn Pots Last Name: Koepper Cust P.O.: 37892 �•t Phone: 317-573-4026 O E-Mail: dkoepper@carmelclayparks.com uW6(� Cell phone: F'4-re5 Billing Address Address Shipping Address Address: 1411 E. 116th Street Address: 1411 E. 116th Street City: Carmel City: Carmel State: Indiana State: Indiana Country: United States Country: United States Zip/Postal code: 46032 Zip/Postal code: 46032 Company or Name: Attention: Products ordered IMG Product Item price Quantity Total Wiremold, 828R-TCAL, Recessed Floor Box Coverplate, Duplex Cover Plate Recessed Floor Box Coverplate, Duplex $41.55 10 $415.50 Cover Plate, 828R-TCAL sku: M71500 Wiremold, 828GFITCAL, Recessed Floor Box Coverplate, GFI Cover Plate Recessed Floor Box Coverplate, GFI Cover $39.34 10 $393.40 Plate sku: M71501 Wiremold, 818TCAL, 1-Gang Brushed Aluminum Combination Carpet and Tile Flange 1-Gang Brushed Aluminum Combination $42.03 20 $840.60 Carpet and Tile Flange sku: M71513 Wiremold, 828TCAL, 2-Gang Brushed Aluminum Combination Carpet and Tile Flange 2-Gang Brushed Aluminum Combination $59.70 3 $179.10 Carpet and Tile Flange sku: M71514 Subtotal: $1,828.60 Shipping cost: $20.52 Total: $1,849.12 littps-.Hwww.mrsupply.com/order.php?mode=invoice&orderid=85548 12/12/2014 Page 2 of 2 Customer notes Ship to Address - 1235 Central Park Drive E., Carmel, IN 46032 - ATTN Jim Ransford Thank you for your purchase! FedEx Tracking # will be sent to you via email after merchandise ships. MrSupply.com is an e-commerce division of Grant Supplies. Your credit card statement will reflect the name : GRANT SUPPLIES https://ww\v.mrsupply.com/order.php?mode=invoice&orderid=85548 12/12/2014 6V3 PC)N. WhenToWork, Inc. P I rO*- ° 360 E 1 st St #301 A U - WhenToWork Tustin, CA 92780INVOICE , -. To: Carmel Clay Parks & Date: Dec 19, 2014 Recreation 141219-21996201-400- Invoice #: 12 Subscription 21996201 Contact: Dawn Koepper dkoepper@carmelclayparks.com Maximum 3Rl7f Number of Employees Service Provided Amount 400 Online Scheduling at WhenToWork.com for 12 months $1200 Amount Paid in US Dollars: $1200 Zero balance, do not pay. $0 WhenToWork's Inc. Federal Tax ID: 20-4595404 Download W9: http:/NVhenToWork.comNVhenToWorklncW9 pdf If you have a group subscription, the Maximum Number of Employees applies to the combined employee total in all linked accounts. No refunds are given for partial use of time period or reduction in employee total. Exceeding the number of employees chosen will result in additional costs. Use of WhenToWork.com is subject to our WhenToWork Terms of Service . X13 _ Dawn Koepper From: shopper@worldpay.com Sent: Tuesday, December 30, 2014 2:47 PM To: Dawn Koepper Subject: World Pay CARD transaction Confirmation Transaction Confirmation PAZ Please retain for your records DEC 8 0 2014 Thank you BY. Your transaction has been processed by World Pay, on behalf of Coach USA Inc. Transaction details: Transaction for the value of: USD 61.50 Tv�� �N IM EG �VI s Description: Travel Tickets From: Coach USA Inc Ar Es PQ _Con f` /encs, Merchant's cart ID: 47176765-1419968280686 Authorisation Date/Time: 30/Dec/2014 19:47:25 WorldPay's transaction ID: 3855856854 7 This is not a tax receipt. 1125-�.-4-35 000 Enquiries This confirmation only indicates that your transaction has been processed successfully. It does not indicate that your order has been accepted. It is the responsibility of Coach USA Inc to confirm that your order has been accepted, and to deliver any goods or services you have ordered. If you have any questions about your order, please email Coach USA Inc at: Payment- Inguiries()coachusa.com, with the transaction details listed above. Thank you for shopping with Coach USA Inc. When you submit your transaction for processing by WorldPay you confirm your acceptance of WorldPay's shopper privacy policy, a copy of which can be viewed at: http�/Jwww_worldp_ay._comJshop er_piv_acy( To find out more about how your transaction was processed, visit WorldPay's Frequently Asked Questions at: hUp: yKww:wor(dpa_y Co_mJshop,per/fags/ 1 ABOUT MY HEALTH - X - invoice 2105 Vandalia St, Ste 10 Date Invoice# Collinsville, IL 62234 877-731-6385 12/19/2014 2073 info@aboutmyhealth.us Bill To Carmel Clay Parks&Recreation Attn: Lynn Russellr � P:317-573-4019 D V L:LRussell@carmelcla)p +varks.com E�+ g 2-A i201A r � �I : 1 Item Quantity Description Rate Serviced Amount 5 Panel Drug Test 1 Amphetamines 69.00 12/16/2014 69.00 Cocaine Marijuana Opiates Phencyclidine -Mark Callaway Paid in full Paid in full -100.00% 12/16/2014 -69.00 T Meeh x �5� �D�ob paid in full,thank you for your business. Total $0.00 r y1 12/3/2014 SouthwestAirlines-PurchaseConfirmation Espanol Southwest, PLANA TRIP SPECIAL OFFERS RAPID REWARDS® q Southwesto Thank you for your purchase! DEC - 4 2014 Indianapolis,IN-IND to Las Vegas,NV-LAS BY; New Purchases in Trip Air _ Confirmation#FJHV2S Indianapolis,IN-IND to Las Vegas, NV-LAS Thursday,January 15,2015-Saturday, January 17,2015 R PC/0fI MM COmmrTTS MT� __. Air Total: $386.20 II FA OE �51—I_.D [- L�34 DOU Amount Paid $386.20 Trip Total $386.20 lAN 15 THU 2015 NRPA Program Committee New purchases added to your trip. AIR Indianapolis,IN-IND to Las Vegas,NV-LAS 01/15/2015 - 01/17/2015 Confirmation# FJHV2S Adult Passenger(s) MICHAEL KLITZING Add Rapid Rewards Number Subscribe to Flight Status Messaging DEPART 05:25 PM Depart Indianapolis,IN Flight ' Thursday,January 15,2015 JAN 15 (IND)on Southwest Airlines #1114 ; L THU ` g i 06:45 PM Arrive in Las Vegas,NV Travel Time 4 h 20 m 1 (Nonstop) i (LAS) wiFiavailable WannaGet Away I ' I i RETURN i 08:45 AM Depart Las Vegas,NV(LAS) FlightSouuweu� ` Saturday,January 17,2015 JAN 17 on Southwest Airlines #3886 SAT i 03:15 PM Arrive in Indianapolis,IN Travel Time 3 h 30 m (IND) wi available (Nonstop) i Wanna Get Away I What you need to know to travel: Don't forget to check in for your flight(s)24 hours before your trip on southwest.com@ or your mobile device. Southwest Airlines does not have assigned seats,so you can choose your seat when you board the plane.You will be assigned a boarding position based on your checkin time.The earlier you check in,within 24 hours of https://www.southwest.com/reservations/confirm-reservations.htm I?disc=sdc%3AED434B3C44424624A637765AC F91 F28C&int= 1/2 12/3/2014 Southwest Airlines-Purchase Confirmation your flight,the earlier you get to board. WiFi,TV,and related services may vary and are subject to change based on assigned aircraft. Learn More PRICE:ADULT Trip Routing Fare Type I View Fare Rules Fare Details Quantity Total • No Change Fees Depart IND-LAS Wanna Get Away (applicable fare difference applies) p ExcellerttValue Reusable Funds 1 $198.10 (nontransferable-no name changes allowed) • Nonrefundable unless purchased with Points • No Change Fees Return LAS-IND Wanna Get Away (applicable eusable fare difference applies) 1 $188.10 Excellent Value (nontransferable-no name changes allowed) • Nonrefundable unless purchased with Points Enroll in Rapid Rewards and earn at least 0 Points for this trip. Subtotal $386.20 Already a Member?Log in to'ensure you are getting the points you Fare Breakdown deserve.- Carry-on Items:1 bag+1 small personal item are free,see full details. Checked Items:First and second bags are free,size and weight limits apply. Bag Charge $0.00 Air Total: $386.20 Gov't taxes&fees now included Purchaser Name Michael Klitzing Billing Address 1411 E. 116th Street Carmel,IN US 46032 Form of Payment Amount Applied MasterCard-XXXXXXXXXXXX-2421 $386.20 Amount Paid $386.20 Trip Total $386.20 ©2014 Southwest Airlines Co.All Rights Reserved.Use of the Southwest websdes and our Company Information constitutes acceptance of our Terms and Conditions.Privacy Policy https:/twww.soLdhwest.com/reservations/confi rm-reservations.htm I?disc=sdc%3AED434B3C44424624A637765AC F91 F28C&i nt= 212 tee, MANDALAY BAY" Reservations RESORT AND CASINO, LAS VEGAS Guest Information 1-877-632-7000 1-702-632-7777 TTY 877-632-7101 FAX 1-702-632-7108 3950 Las Vegas Blvd. South, Las Vegas, NV 89119 www.mandalaybay.com Dear Michael Klitzing, Thank you for choosing Mandalay Bay Resort&Casino.We are pleased to confirm the following room reservation: Name: Michael Klitzing Confirmation No.: 744897816 =BY: Arrival: 01/15/155 Departure: 01/17/15 No.of Guests: 1 Room Type: Deluxe King Group: NRPA Conf. Program Comm. Mtg/Main-XNRPA Room Rates: 01/15/2015 $90.00 plus 12%tax per night 01/16/2015 $110.00 plus 12%tax per night Deposit Received: $100.8 NRPA ?P46RAr,1 G0ry1mi7TFpE > �it Check in time is 3:00 pm and check out time is 11:00 am. « —� -r -'`T 330 D C-D We trust you will enjoy your upcoming stay,and look forward to welcoming you as a guest of Mandalay Bay Resort and Casino. By booking this reservation,you agree to the terms and conditions. If you do not agree to these terms and conditions, please contact Room Reservations at 877-632-7000. The first night's deposit is fully refundable provided notice of cancellation is received by Room Reservations at 877-632-7000 at least 48 hours prior to arrival. If you are paying with a credit card, you must present the credit card at check-in. If you are not the credit card holder, please contact Room Reservations for details on our credit card policy. Every effort will be made to accommodate your requests for specific room type and location however, we are unable to guarantee any requests as rooms are not assigned until check in. Additional fees may apply depending on the specific requests. There is an additional charge of$35.00 per occupant, per night,above 2 occupants per room. Guests must be 21 years of age in order to check into the hotel. Regardless of billing or master account arrangements,you are liable for any and all charges posted to your room(s). You are further liable for all damages to the room(s) caused by you or your guests/invitees during your stay. Should you require a smoking optional floor, please inform the front desk. Should you choose to stay on a non-smoking floor, and there is evidence of smoking in your room you will incur a minimum deep cleaning fee of$250 charged to your account. You authorize us to place a hold against your credit or debit card to guarantee any and all charges and, in the event that you do not settle your account subsequent to your departure, you hereby authorize us to charge your credit or debit card or apply funds you have on deposit with us against what you owe. Should your plans require you to extend your departure date, please check with the Front Desk on room availability but note that your rate is subject to change. The extent of any complimentaries received is based upon qualified casino play that is reviewed during and after your stay. Please notify the Front Desk immediately if there are any errors to name, rate or length of stay. l Michael Klitzing From: ilipra@memberclicks-mail.net on behalf of Illinois Park and Recreation Association <ilipra@memberclicks-mail.net> Sent: Friday, December 12, 2014 3:04 PM To: Michael Klitzing Subject: IPRA Dues Renewal Form Submitted �01- 93�S3o� ILLINOI C Y PARK 6 RECREATION ASSOCIATION 1 Learn.Connect.Inspire. Member Information Payment Information Michael Klitzing Date: 12/12/2014 15:04:17 Confirmation #: 8502949 Username: mklitzing@carmelclayparks.com Total Payment Amount: $244.00 Password: L o y � Payment Method: Credit Card Thank you for renewing your membership with the Illinois Parks and Recreation Association! Click 'Continue' below to log in and enjoy your membership benefits! Illinois Parks and Recreation Association 536 East Avenue, La Grange, IL 60525 3�3:--- ABOUT MY HEALTH F-b X X - 6 Invoice 2105 Vandalia St, Ste 10 Date Invoice# Collinsville, IL 62234 877-731-6385 12/19/2014 2073 Wn info@aboutmyhealth.us '16 a`110M_k r— Bill To Carmel Clay Parks&Recreation Attn:Lynn Russell P:317-573-4019 D E:LRussell@carmelclayparks.com EC 2¢ 2014 Item Quantity Description Rate Serviced Amount 5 Panel Drug Test 1 Amphetamines 69.00 12/16/2014 69.00 Cocaine Marijuana Opiates Phencyclidine -Mark Callaway Paid in full Paid in full P -100.00% 12/16/2014 -69.00 5cfaKfw V4 , �J �ci � _14qq 4p � 1 paid in full.thank you for your business. Total $0.00 Fifth Third IVendor Organizati on & Equip Travel Member Special Drug repairs & Classified Subscripti expenses dues Projects _ screening maint Ad ons Fifth Third Bank 1125 1125 1125 1091 1093 1081-99 1091 V#354296 1 1 43430001 43553001 4359000 4340700 4350000 4346000 4355200 $ 4,346.05 $ 487.00 1 $ 244.00 $ 269.86 $ 138.00 $ 1,849.12 $ 133.07 $ 1,225.00 $ 100.80 .$244244_.00 $ 61.50 $ 69.00 $ 1,849.12 $ 34.07 $ 25.00 $ 386.20 $ 208.36 $ 69.00 $ 99.00 $ 1,200.00 p-6*37903jct J ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show, kind of service, where performed, dates se whom, rates per day, number of hours, rate per hour, number of units, price per unit, etcrvice rendered, by. Payee 00352832 Fifth Third Bank Purchase Order No. P.O. Box 740523 Terms Cincinnati, OH 45274-0523 Invoice Invoice Date Number Description (or note attached invoice(s)or bill(s)) PO# 12/31/14 2798 Travel expenses Amount 12/31/14 2798 Organization & Member dues $ 487.00 12/31/14 2798 Special Projects 37903 $ 244.00 12/31/14 2798 Drug screening $ 269.86 12/31/14 2798 Equipment repairs & Maintenance $ 138.00 12/31/14 2798 Classified ads $ 1,849.12 12/31/14 2798 Subscriptions $ 133.07 $ 1,225.00 Otal $ 4,346.05 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordan e 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$ $ 4,346.05 ON ACCOUNT OF APPROPRIATION FOR 101 General /108 ESE/109 Monon Center Board Members PO#or INVOICE NO. CCT#/TITL AMOUNT D@pt# 1125 2798 4343000 $ 487.00 1 hereby certify that the attached invoice(s), or 37903 F 2798 4355300 $ 244.00 bill(s)is(are)true and correct and that the 1125 2798 4359000 $ 269.86 materials or services itemized thereon for 1091 2798 4340700 $ 138.00 which charge is made were ordered and 1093 2798 4350000 $ 1,849.12 received except 1081-99 2798 4346000 $ 133.07 1091 2798 4355200 $ 1,225.00 January 8, 2015 Signature $ 4,346.05 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund j