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245893 06/03/15 0`/ �"• CITY OF CARMEL, INDIANA VENDOR: 368360 ® Yl ONE CIVIC SQUARE MATT KLINEMAN CHECK AMOUNT: $********77.82* ?� CARMEL, INDIANA 46032 2842 HAZEL FOSTER DRIVE CHECK NUMBER: 245893 9�,��eN CARMEL IN 46033 CHECK DATE: 06/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 77.82 OTHER EXPENSES el .L �C1VII'C� Reimbursement Expense Receipt Reimbursement expenses are transactions that were conducted by a third-party whom needs a reimbursement on behalf of the CMYC organization. Transactions such as CMYC members paying for CMYC event materials would be one example of a reimbursement expense. After completing this form,please submit it to the Council Clerk-Treasurer. Expender: 90 Vendor(location of purchase): (v1,�1e15 Date: 5/7//5 Event/Activity (if applicable): �� 67,6r A Expense Account(see list of accounts): Additional Description: Oo PLIrc sR- Z�• 1 12e � Expense Amount(do not include Sales Tax): 7, g3 Reimbursee Name: MSO Kl,�er�ra� Reimbursee Address (required): rbs�er -- Iverify,to the best of_my knowledge that this information is correct, and_this-purchase was_.v_ madeIeha f of CMY and not for personal use or gain. /do T/Z/ ti� Expender Signature bate Please submit this form to Clerk—Treasurer along with the purchase receipt. Appendix 14—Page 1 Where Creativity Happens- MICHAELS STORE 49951 GREYHOUND PLAzi, 14670 U.S. 31 NORTH CARMEL IN 46032 ** RetLrn Bac ccde xk 8-'9881-0245-9356-6249 9111-2115-16OD-4069 i I 2326 SALE 29-%3 9951 G06 Si 77A 5 ie-39 EASEL."3. BLRCIC 90010085561`3 99 1:@ 3:'39 EASEL 3`BLRCK gOQl 008556t" 3 Q9, t- 3.99 EASEL 3" BLACK 40010085561 3.99 1"u 3 99 EASEL 3" BLACK 400100085561 3.99 1 @ 3.!' EASEL 3"'BLACK 400100085561. 3:°9 -i=A' 3:93 EASEL 4'` BLACK 400100085578 3.99 101 3.99 EASEL 4".BLACK 400100085578 3.99 1 @ 3.99 EASEL.4" BLACK. 4001.00085578 3.99 1 to 5.99 EASEL 4" BLACK 400100085578 3.99 1 L 3.99 EASEL 4"SLACK 400100085578 3.99 1 @ 3.99 EASEL 4 BLACK 400100085578 3.99 1 to 3.99 EASEL 9" BLACK 400100085578 3.99 1 e 3.99 EASEL 4",BLACK 4001.00085578 3.99 I @ 3.99 EASEL`4'"BLACK 900100085578 3.99 1 12 5.59 EASEL 4" BLACK 400]000&4578 3.99 .3.99, EASEL 4" BLACK 400100085578 3.99 1 @ 3:99 EASEL 4" BLACK 400100085578 3.99 1 @ 3.9 EASEL 4" BLACK 400100085578 3.99 1 12 3,99 EASEL 4"BLACK 400100085578 3.99 1 @ 3.99 EASEL 4" BLACK 400100085578 .3.99 1 10 3.99 EASEL 8" CLEAR PL 400100613504 3.99 1 ii 3,99 EASEL 8" CLEAR PL 400100613504 3 99`'1 ' '3.49 EASEL 8" CLEAR PL 400100613504 3.99 1 @ 3.99 EASEL 8"CLEAR PL 400100613509 3.99 1 1? 3.99 EASEL 81, CLEAR PL 400100613504 3.99-1, 3.99. .. EASEL 8" CLEAR PL 400100613504 3.99 1 i? 3.99 EASEL 8" CLEAR PL 400100613504 3.99 1 @ 3.99 EASEL 8" CLEAR-PL 400100613504 3.99 1 @ 3.99 EASEL 8" CLEAR PL 400100613504 3.99 1 @ 3.99 EASEL 8"-CLERR-PL--400100613509-.3.99-J-@-- -3.99. - EASEL 8" CLEAR PL 400100613504 3.99 1 @ 3.99 EASEL 8" CLEAR PL 400100613504 3.99 1 is 3.99 SUBTOTAL 127.68 Sf1l E5 TAX 7x 8.94 TOTAL 136.62 ACCOUNT NUMBER ; xr300�; Oeblt 136.62 APPROVAL: 829964 SWTPEU ONLINE DEVICE I0:0006 TRACE REP:004128380 This reoelPI (bel"es at 180 daas on 11/08/i5 8-9881-0245-9'355249-9111-2115--1605-4069 0014-9994-0964-4302-3121-9945-060f 409 IIIIIIIIIIIIIIl11111IIIIIIIIIIIIIIIIIIIIIII�Ill�111111i11i1 - Where Creativity Happens•' MICHAELS STORE 49951 (317)580-9200 GREYHOUND PLAZA 14670_U.S 31 NORTH CARMEL, IN 46032 Return Barcode xx 8=9491-0685-ffi55-60A5-1111-1185-16OD-4751 319.1 SALE RTN 0813`9951 040 5/21/15 15:49 X X-XX X-XjF-XjE#j-X--X X-X>E X X X RETURNS EASEL 3" BLACK 4OO10GC85561 .3.99- 1 @ 3.99 R EASEL 3"BLACK 400100085561 3.99- 1 @ 3.99 R EASEL 3" BLACK 400100085561 3.99- 1 @ 3.99 R EASEL 3";BLACK 400100085561 3.99- 1 @ 3.99 R EASEL 3" BLACK 400100085561 3,99- 1 @ 3.99 R EASEL 4"°'BLACK 400100085578 3.99- 1 @ 3.99 R EASEL 4",.BLACK 400100085578 3.99- 1 @ 3.99 R EASEL 4" BLACK 400100085578 3.99- 1 @ 3.99 R EASEL 4"BLACK 400100085578 3.99- 1 @ 3.99 R EASEL 4" BLACK 400100085578 3.99- 1 @ 3.99 R EASEL 4" BLACK 400100085578 3.99- 1 @ 3.99 R EASEL 4"BLACK. 400100085578 3.99- 1 @ 3.99 R EASEL 4" BLACK 400100085578 3.99- 1 @ 3.99 R EASEL 8"CLEAR PL 400100613504 3.99- 1 @ 3.99 R EASEL 8"CLEAR PL 400100613504 3.99- 1 @ 3.99 R SUBTOTAL 59.85- SflLES:TAX 7% 4.19- TOTAL 64.04- DU TOM 64.04- This receipt expires at 180 days on 11/22/15 - 5-'9491-0x68'5-855&4D45-1111=1185-1600-4`751 - - _ --- --- .-----,-- -- -.- - -- - - 0081-999q-0964--430173801-5145-,0605--471 111IIIIJill 1111111111111111111111111111illllllll1111111111 Click. Buy: Create. Shop michaels.com today! Get Savings&_Inspiration! Texts SIGNUP to 2732E3 To Sign UP for Email-& Text Messages. *Mss&OataRatesMayApply THANK YOU FOR SHOPPING AT MICHAELS Dear Valued Customer: Michaels return and coupon Policies are available at michaels.com and in store at registers, -- e11�Ia r: 3 }C1aVII'C�' a7 COQ Reimbursement Expense Receipt Reimbursement expenses are transactions that were conducted by a third-parry whom needs a reimbursement on behalf of the CMYC organization. Transactions such as CMYC members paying for CMYC event materials would be one example of a reimbursement expense. After completing this form,please submit it to the Council Clerk-Treasurer. Expender: 1",,W a Vendor(location of purchase): r Date: 5/7//,-- Event/Activity(if applicable): 6/ A Pr4l Expense Account(see list of accounts): Additional Description: I ')/ j t ' Expense Amount(do not include Sales Tax): Reimbursee Name: PO/� K jillowti Reimbursee Address (required): Z�yz F:65� br ute( l/V 4/6033 I verify_to the best of_my__knowledge that this information is correct, and this purchase was made on/,behalf of CWC and not for personal use or gain. A4� )/ Expender Signature Date Please submit this form to Clerk—Treasurer along with the purchase receipt. Appendix 14—Page 1 i PartyC,ity NOBODY HAS MORE PARTY FORIESS 14299 CLAY TERRACE BLVD, #100 CARMEL, IN 46032 317-815-3846 048419655503 DOUBLE ROLL $9.99. T DOUBLE ROLL TICK WH/YL/GN/PK SUBTOTAL $9.99 GEN MERCH TAX @ 7.000% $0.70 ;OTAL $10,69 CR VISA $10.69 ITEMS 1 CR VISA SALE $10.69 XXXXXXXXXXXX3005 APPR: 328270 JOURNAL: 0673023104402343 STORE 673 TRN 106 REG 2 05-07-2015 08,:13:;07 PM 141 1267 002 04AH. Illllllllll111111111iIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII *141126.700204AH* RETURNS MUST BE MADE WITHIN 30 DAYS OF PURCHASE RECEIPT MUST ACCOMPANY EACH RETURN ONLY UNOPENED. PACKAGES MAY BE RETURNED SEASONAL ITEMS MAY BE RETURNED UP TO 7 DAYS PRIOR TO HOLIDAY ME_RCf_IANUISE_CREDITS_ARE:ONLY REDEEMABLE AT ISSUING STORES. i VOUCHER NO. WARRANT NO. ALLOWED 20 Matt Klineman IN SUM OF$ 2842 Hazel Foster Drive Carmel, IN 46033 $77.82 ON ACCOUNT OF O APPROPRIATION F R Community Relations Gift Fund 854 PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members 854 Receipt Mayor's Youth Council $9.99 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 854 Receipt Mayors Youth Council $127.68 materials or services itemized thereon for 854 Receipt Mayors Youth Council ($59.85) which charge is made were ordered and received except Monday,June 01,2015 . :r Director,Com nity Relations/Economic Development 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)) 05/07/15 Receipt $9.99 05/07/15 Receipt $127.68 05/21/15 Receipt ($59.85) 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 , 20 Clerk-Treasurer