246498 06/1 7/1 5 CITY OF CARMEL, INDIANA VENDOR: 369493 *
® „ ONE CIVIC SQUARE JERRY POINTS CHECK AMOUNT: $*******679.41
CARMEL, INDIANA 46032 7106 EDGEWATER PLACE CHECK NUMBER: 246498
INDIANAPOLIS IN 46240 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 679.41 OTHER EXPENSES
6/12/2015 To: City of Carmel,Dept.of Community Relations,One Civic Square,Carmel,IN 46032
Reimburse Jerry Points $679.41
7106 Edgewater Place, Indianapolis, IN 46240
RECEIPTS:
Date Store Amount Purpose
8/1/2014 Staples $76.98 Carmel on Canvas
9/2/2014 FedEx Office $21.75 Carmel on Canvas
9/12/2014 Staples $16.99 Carmel on Canvas
9/13/2014 Teeki Hut $350.00 Carmel on Canvas
9/16/2014 Hoosier Sporting Goods $90.25 Carmel on Canvas
9/17/2014 Staples $123.44 Carmel on Canvas
TOTAL $679.41
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Silas Receipt #10144 Of*' ''"
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Teeki Hut
607 Broad Ripple Ave
Indianapolis,IN 46220
Item Name Qty Price ext Price edEx Office is your destination
TeekiT-shirt 25 $14.00 $350.00T for printing and shipping.
D% 39%
Subtotal: $350.00
Local Sales Tai 7%Tax: +$24.50
RECEIPT TOTAL: $374.50 530 E Carmel Dr
Credit Card:$374.50 Carmel, IN 46032-12814
Mastercard Tel : (317) 818-1600
Total Sales Discounts: $223.75 9/2/2014 5:23:56 PM EST
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purchase! �,�
P!l�+omer: Jerry Points
II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII SALE
10144
y PointsPoster Qty. 1 21.75
.e Paper.,7SgFt.. 3 l -7.2500
: :1450 Reg. Price 7.25
Price per piece 21 .75
Regular Total 21 .75
Discounts 0.00
TEEKI HUT .`
807 BROAD RIPPLE AVE Total Y 21 ,75
INDIANAPOLISP IN 462200 lax
1.52
09/13/2014 14:13:08 Deposit 0.00
MID: 000000002923458
T I D 1 04347879 Total 23,27
267566919887
- CRFnr7 ';ARO _. 23.27
_
Account:
Auth: H64797 (A)
.:SXxxx> --
" ' 0017 _ Total Tender 23..27
000575 APP Code: H68821 Change Due 0.00
Entry Mode : SwiPed
Mode : Ontlne
Tax Amt : $0.10 Total Discounts 0.00
SALE RMT $374 ,50
CUSTOMER COPY ;_ �I�IIIIIIIIIIII�IIIIII�IIIII�IIIf�1IIIIlI�I�II�IIII�II�lllllll�l
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Printed: 9/16/2014 2:31.34 PM Sales Receipt #29959
Store: 1
9/16/2014
Cashier: MRB
Page 1
SPORTING GOODS
Hoosier Sporting Goods
611 Washington St.
Columbus, IN 47201
812-376-3418
www.hoos iers porti nggoods.com
Item Name Attribute Size Qty Price Fact Price Tax
Ribbons 19 $0.64 $12.16 T
_ Ribbons 1 $4.65 $4.65 T
Ribbons 4 $4.50 $18.00 T
Ribbons 2 $4.25 $8.50 T
Ribbons 3 $3.80 $11.40 T
Ribbons 1 $25.00 $25.00 T
Shipping 1 $10.54 $10.54
Subtotal: $90.25
Local Sales Tai 7%Tax; +$5.58
RECEIPT TOTAL: $95.83
Amount: $95.83, Authorization: H42690,
Reference: 277443588, Card: Master Card.
Number: 1088.
-Credit Card: $95.83 MasterCard
Signature:
I agree to pay above amount according to card issuer
agreement(merchant agreement if credit voucher.)
Thanks for shopping with us!
I IIIIII VIII VIII VIII VIII IIII IIII
29959
t
6101 North Keystone,Suite, 1200-C
INDIANAPOLIS, IN 46220
(317) 722-9853 6101 North Keystone,Suite '1200-C
wiw
SNI-F 1683325 1 001 0!;�;i.;3 INDIANAPOLIS, IN 46220
1281 09/17/14 11 :2 (317). 722-9853
t,!T'? SKU PR I t::i: t Kt L 1699528 3 005 014ha
1261 09/12/14 01 :24
REWARDS NUMBER 3993192297 QTY SKU PR r C L
I COLOR CODE 3/4IN N
072782054687 7.79 REWARDS NUMBER 1210726903
1 81%2X11-SLANTED SI 0*0 Customer- Order 2042242445 * �
718103098229 6.00 1 BROTHER STAMP 1850 BLACK
1 SHARPIE MARKR FINE 712219 _ - 16,91.)
071641306653 5,29 Questions on Customer Order 2042242445
1 STAPLES LEGAL SIZE ill Customer Service at '1-800-3STAP1_ES
.718103166829 2.49 + f+x*********** ****************** ****+
1 LUNAR .BP RT MED 5P - SIN'OTAL V16,91)
. 045588214156 4.29 Standard Tax 7.00% 1.19
1 STAPLES LEGAL• SIZE 101AL $18.18
718103166829 2 =19
1 POST-IT 4X4 SS LND 18,18
051141358185 9.(A Card No. : XXXXXXXXXX)- [S]
i z PART SPIRAL RCPT Auln No. : H24301
i J7958118223. 9.,49
1 Q!-iILTED NRTHRN SFT IOTA!_ ITEMS 1 .
042000963657 6.1_ui
1 -;(.,OTCH-BRITE SCRUB
021200572357 4.21
1 VAULTZ BLACK CASH
ti16030010020 24.91
1 BRAWNYPICK-A-SIZE
042000445177 8,99
1 METHOD LADEN HANDW
817939000311 3.29 1
1 #1 PAPERCLIP 10OPK
.718103157063 1 .99
1 WELCHS FRUIT'SNACK 6101 North Keystone,Suite 1200-C
034856050988 l',79N INDIANAPOLIS, IN 462.20
1 SOFT SCRUB 360Z iO (317) 722-9653
023400155145.29 :.E;1 E, 1712807 1 001 1.:l
1 . :81/2X11-SI_ANTEp ST 1281 08/30/14 t�W.i'64
718103098229 6,(A` IA I'Y S K tJ F'R T(y E
*****Special Promotion*****
*****Limit 30 at 3.99 ea***** REWARDS NUMBER 3993192297
1 KLEENEX FACIAL. TIS 1 NAME BADGE HANGING
016000373929; s.'.''.� 077711745209 40 9'1
i�e��-Ilar Price 4,99ea Coupon No. 16778 -2,50
Si�ec:ial Savings. -1 :00ea 1 NAME BADGE HANGING
+, +***************++******* * ****� ,+ 077711745209 40",99
I LYSOL TOILET BOWL t.'oupon No. 16778 -2.1;u
'036241206635 c,99 ,;!INATAL 176 96"
1 d1/2X11-SLANTED SI Standard Tax 7.00% 5.,39
1i8103098229h.Ou 101AL $82.3
Sub 101'AL V/123.44
— - _standard Tax 7.00% 8.52 82.:r
iOiPI. $131 .g6 CciI(I No. : XXXXXXXXXXX, [S]
Auth,No. : H93673
Card No:: XXXXXXXXXXX; [Sa
Auth No, : H15789
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jerry Points
IN SUM OF$
7106 Edgewater Place
Indianapolis, IN 46240
$679.41
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
854 I Receipts I Arts District Festivals I $679.41 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,June 15,2015
Director,Comm ity Relations/Economic Development
Title
Cost distribution ledger classification if 1
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))
06/12/15 Receipts $679.41
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