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HomeMy WebLinkAbout250215 10/07/15 ,1 ;• CITY OF CARMEL, INDIANA VENDOR: 00352832 ® "tl ONE CIVIC SQUARE FIFTH THIRD BANK CHECK AMOUNT: $*****4,861.88* CARMEL, INDIANA 46032 ACCT#XXXX-XXXX-XXXX-2798 CHECK NUMBER: 250215 PO BOX 740523 CHECK DATE: 10/07/15 CINCINNATI OH 45274-0523 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4230200 2798 40.15 OFFICE SUPPLIES 1081 4239039 2798 515.92 GENERAL PROGRAM SUPPL 1081 4346000 2798 75.00 CLASSIFIED ADVERTISIN 1091 4343000 2798 1,869.51 TRAVEL FEES & EXPENSE 1091 4346000 2798 89.00 CLASSIFIED ADVERTISIN 1091 4355300 2798 99.00 ORGANIZATION & MEMBER 1093 4238000 2798 334.24 SMALL TOOLS & MINOR E 1093 4350000 2798 792.03 EQUIPMENT REPAIRS & M 1094 4239039 2798 347.26 GENERAL PROGRAM SUPPL 1094 4358300 2798 250.00 OTHER FEES & LICENSES 1096 4238000 2798 -529.07 SMALL TOOLS & MINOR E 1096 4239039 2798 345.00 GENERAL PROGRAM SUPPL 1125 4230200 2798 281.14 OFFICE SUPPLIES 1125 4359000 2798 352.70 SPECIAL PROJECTS Fifth Third Bank FIFTH THIRD BANK ACCOUNT NUMBERXXXx XXXX XXXX 2798 PO BOX 740523 PAYMENT DUE DATE 10-26-15 CINCINNATI OH 45274-0523 AMOUNT DUE $4,929,08. FIFTH THIRD BANK CURRENT BALANCE $4,929.08 PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT ENCLOSED $ CARMEL CLAY PARKS & RECR T0000asz CORPORATE BILLING ACCT C/O AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 5569260004422798 0004929089 0004929089 Please tear payment coupon at perforation. ,STATEMENT'vMESSAGyES:- r`' +1��7)-D OCT - l 2015 B'Y. CORPORATE.AC000NT.SUMMARY- CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 09-30-15 PREVIOUS BALANCE 2,254.65 PAYMENT DUE DATE 10-26-15 PURCHASES AND OTHER CHARGES 5,458.15 CREDIT LIMIT 40,000 CASH ADVANCES 00 AVAILABLE CREDIT 35,071 CREDITS 529.07 PAYMENTS 2,254.65- FOR CUSTOMER SERVICE CALL: 1-800-375-1747 LATE PAYMENT CHARGES .00 CASH ADVANCE FEE .00 SEND BILLING INQUIRIES TO: FINANCE CHARGES .00 FIFTH THIRD BANK NEW BALANCE 4,929.08 P.O.BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 4,929.08 DISPUTED AMOUNT .00 Page 1 of 3 ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 4,929.08 MINIMUM PAYMENT DUE 4,929.08 AVAILABLE CREDIT 35,070.92 PAYMENT DUE DATE 10-26-15 �: EAC ;COU,N;T�ACTLV.ITY" CARMEL CLAY PARKS&RECREATION TOTAL CORPORATE ACTIVITY XXXX-XXXX.XXXX-2798 $2,254.65 CR Post Trans Date Date Reference Number Transaction Description Amount 09-14 09-14 75569265257150914000150 PAYMENT RECEIVED-THANK YOU 2,254.65 PY INDIVIDUA' b CARDH0LDERAGTIVTTY'--'.,-Z MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $0.00 $1,084.81 $0.00 $1,084.81 Post Trans Date Date Reference Number Transaction Description Amount 09-11 09-09 55207395253448408899825 SNAGAJOB GLEN ALLEN VA 89.00 09-16 09-14 55432865258000352478017 SOUTHWES 5260674425707 800-435.9792 TX 12.50 KLITZING/MICHAEL W Departure Date 09-14-15 DAL WN A DAL 09-16 09-14 55541865258004093067319 NY-NY HOTEL&CASINO LAS VEGAS NV 28.00 000005569 ARRIVAL:09.14-15 09-16 09-14 55541865258004093067392 NY-NY HOTEL&CASINO LAS VEGAS NV 28.00 000005569 ARRIVAL:09-14.15 09-16 09-14 55541865258004093067418 NY-NY HOTEL&CASINO LAS VEGAS NV 28.00 000005569 ARRIVAL:09-14.15 09-16 09.15 55547505258034349682260 LAS VEGAS LIMOUSINES LAS VEGAS NV 81.95 09-16 09-15 25536065259105005944713 CARMINE'S LAS VEGAS NV 130.47 09-16 09-14 55436875258162585972326 NYNY GONZALEZ LAS VEGAS NV 138.36 09-16 09-14 55541865258004093390661 MB CITIZENS LAS VEGAS NV 139.45 09-17 09-15 55541865259004118304209 NY 48TH&CREPE LAS VEGAS NV 12.96 09.17 09-15 55309595259200888300402 RI RA IRISH PUB LAS VEGAS NV 172.29 09-18 09.17 55432865261000671533265 IL FORNAIO-LAS VEGAS LAS VEGAS NV 7.11 09-21 09-18 05410195262531159777018 SBARROS C LAS 30403109 LAS VEGAS NV 8.95 09-21 09-17 55541865261004102075662 NY-NY HOTEL&CASINO LAS VEGAS NV 22.46- 000005569 4.40000005569 ARRIVAL:09-17.15 1 09.21 09-17 55541865261004102075670 NY-NY HOTEL&CASINO LAS VEGAS NV �/� 24,40 000005569 ARRIVAL:09-17.15 L) G 09-21 09.17 55541865261004102075712 NY-NY HOTEL&CASINO LAS VEGAS NV 22A0 069 ARRIVAL:09-17-15 09.21 09-18 55490405263261995320944 TAXIAX[CAB SERVICE LAS VEGAS NV 22.57 LC•, 09.21 09-18 55541865263004104063839 NY-NY HOTEL&CASINO LAS VEGAS NV 28.00 000005569 ARRIVAL:09-14-15 09-21 09.18 25536065262101028370973 INDIANAOPOLIS AIRP INDIANAPOLIS IN 90.00 DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-1502 $529.07 $4,373.34 $0.00 $3,844.27 Post Trans Date Date Reference Number Transaction Description Amount 09.01 08-31 55432865243000900957551 AMAZON MKTPLACE PMTS AMZN.COM/BILL WA 61.43 09-03 09-01 75306375245323800542474 NORTH AMERICAN DRAMA T 888-4167167 NY 345.00 09-07 09-03 55309595247200160419792 RACK SOLUTIONS INC 08009037225 TX 219.71 09-07 09-03 55417345247872471922117 AMERICAN 00176777798470 BELLEVUE WA 302.70 YADON/MICHELLE Departure Date 10-15-15 IND AA N DCA AA N HPN AA S DCA AA S IND 09-10 09-10 55432865253000698278688 AMAZON MKTPLACE PMTS AMZN.COM/BILL WA 128.98 09-14 09-12 55432865255000626641120 TRADE PRESS MEDIA GROU 414-228.7701 WI 99.00 09-14 09-11 55432865254000332696500 AMAZON.COM AMZN.COM/BILL WA 334.24 09-16 09-16 55432865259000610739845 AMAZON MKTPLACE PMTS AMZN.COM/BILL WA 386.94 09-17 09-15 55417345259872593373889 DELTA 00677125043825 BELLEVUE WA 101.60 KILPATRICK/MICH Departure Date 10-29.15 MCO DL V ATL OL V IND Page 2 of 3 Continued on next page ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 4,929.08 MINIMUM PAYMENT DUE 4,929.08 AVAILABLE CREDIT 35,070.92 PAYMENT DUE DATE 10-26-15 INDLVIDUAL CARDHQLDER.ACTIVITY 09-17 09-15 55417345259872591951983 AMERICAN 00177125062413 BELLEVUE WA 191.60 KILPATRICKIMICH Departure Date 10.25-15 IND AA V MIA AA V MCO 09.17 09-15 85180895259980159882866 SMARTWAIVER BEND OR 250.00 09-18 09-17 55432865260000299814221 AMAZON MKTPLACE PMTS AMZN.COMIBILL WA 40.15 09.21 09-19 55432865262000950821257 MEDSHOP DISTRIBUTORS 718-337-8510 NY 529.07 CR 09-21 09.19 75418235262019036258385 CCI'CARE.COM WWW.CARE.COM MA 75.00 09.21 09-19 85138505263900013611139 INDY BALLOONS CARMEL IN 345.00 09-21 09-18 75456675262460700843369 PART STORE 866-6671674 WI 498.32 09-25 09-24 05227025267200057329028 PARTY AND EVENT RENTAL 317.564-48831N 352.70 09-28 09-25 55310205269286741403104 SUPPLYHOUSE.COM 08887574774 NY 144.45 09-28 09.25 55436875269642692089350 TARPS DIRECT 814-3422930 PA 149.26 09-30 09-29 55429505272894842317333 FIREPENNY 7099294244 IL 347.26 Page 3 of 3 INVOICE Invoice Date: O900�O15 ;�8 o�@ �vo�o�� |NVO0181654 -- - Payment Terms: Due Upon Receipt Due Date: 0009/2015 Please remit payment to: Account Number: A00085226 Sno8ajob Account Information: Carmel Clay Parks&Recreation 4851 Lake Brook Drive 1411 E110Street Glen Allen,VA 230OO ' Carmel Indiana 40032 Subscription Rate Plan Charge Detail Service Subtotal Tax* TOTAL Identifier Name Period. Charge Name:SMB-30 A-SO0096468 Monthly Quantity: 1 1010812015 $89.00 $0.00 $89.00 Unit Price: $89.00 INVOICE TOTALS Michael Klitzing From: Southwest Airlines <SouthwestAirlines@luv.southwest.com> Sent: Monday, September 14, 2015 10:17 PM To: Michael Klitzing Subject: Southwest Airlines EarlyBird Confirmation - H9X43UFR_1­CP%Tvk,T'�i CT - 1 2015 My Account I View My Itinerary Online Southwesty Check Flight Status Special Offers Hotel Deals Car Deals EarlyBird FAQsw Ready for takeoff! EARLY BIRD Thanks for purchasing EarlyBird Check-In for your Las Vegas trip! CHECK-IN '-I-,-I-, Conveniently print your boarding pass with your pre-assigned boarding S 12 S position anytime within 24 hours of departure.We'll see you onboard! Upcoming Trip: none EarlyBird Check-In TM Confirmation Number: H9X43U Passenger Departure/Arrival Flight Date Depart Indianapolis, IN(IND)on Southwest #1769 Mon Sep 14 Airlines at 6:45 AM Travel Time Arrive in Las Vegas, NV(LAS)at 7:45 AM 4 h hours00 mminutes MICHAEL Depart Las Vegas, NV(LAS)on Southwest #1880 Fri Sep 18 KLITZING Airlines at 8:55 AM Travel Time Arrive in Indianapolis, IN(IND)at 3:25 PM 3 h hours30 mminutes Price: $12.50 per person, one-way Total Cost: $12.50 Cost and Payment Summary Payment Information Cardholder: Michael Klitzing Payment Type: MASTER—CARD i Account#XXXXXXXXXXXX-2421 Payment Amount: $12.50 **EarlyBird Check-In is non-refundable. Some exclusions may apply. D�light Status Alerts _ Ino F D—) Get exclusive travel deals straight to your Stay on your way with flight departure or desktop or iPhone. arrival status via text message or email. Subscribe Now r Download DING! w Useful Tools Know Before You Go Special Travel Needs Check-In Online In the Airport Traveling with Children Early Bird Check-In Baggage Policies Traveling with Pets View/Share Itinerary Suggested Airport Arrival Times Unaccompanied Minors Change Air Reservation Security Procedures Baby on Board Cancel Air Reservation Customers of Size Customers with Disabilities Check Flight Status In the Air Flight Status Notification Purchasing and Refunds Book a Car Book a Hotel Legal Policies & Helpful Information Privacy Policy Customer Service Commitment Contact Us Notice of Incorporated Terms FAQs Book Air I Book Hotel I Book Car I Book Vacation Packages I Special Offers I Manage My Account This is a post-only mailing from Southwest Airlines.Please do not attempt to respond to this message.Your privacy is important to us,Please read our Privacy Poligy See Southwest Airlines Co.Notice of Incorporation Southwest Airlines P.O.Box 36647-1 CR Dallas,TX 75235 Contact Us 2 I o°II—c.{3y3�v � 4 NEWYORK NEWVORK. LAS VEGAS HOTEL&CASINO Room No. 1075 Eric Mehl Conf No. 750656345 Arrival 09/14/15 Departure 09/17/15 DATE DESCRIPTION CHARGES CREDITS 09/14/15 Mastercard 28.00 XXXXXXXXXXXX2421 XX/XX 09/14/15 NY Early Check In Fee 25.00 eci fee 8am 09/14/15 NY Room - Early Ck In Tax-120/c 3.00 Total 28.00 28.00 Balance 0.00 Thank you for staying at New York-New York! We invite you to participate in our online survey that will be e-mailed to you after checkout and/or post a review to one of the many online hotel review websites. such as TripAdvisor. 3790 LAS VEGAS BLVD. SOUTH, LAS VEGAS, NV 89109 ^ NEWYORKNEWYORK.COM ^ 1.800.693.6763 NEWYORK NEWVOIRK. LAS VEGAS HOTEL&CASINO Room No. 0907 Kurtis Baumgartner Conf No. 750656341 Arrival 09/14/15 Departure 09/17/15 DATE DESCRIPTION CHARGES CREDITS 09/14/15 NY Early Check In Fee 25.00 eci fee 8am 09/14/15 NY Room - Early Ck In Tax-121/c 3.00 09/14/15 Mastercard 28.00 XXXXXXXXXXXX2421 XX/XX Tota I 28.00 28.00 Balance 0.00 Thank you for staying at New York-New York! We invite you to participate in our online survey that will be e-mailed to you after checkout and/or post a review to one of the many online hotel review websites, such as TripAdvisor. 3790 LAS VEGAS BLVD. SOUTH, LAS VEGAS, NV 89109 • NEWYORKNEWYORK.COM e 1.800.693.6763 NEWYORK HEWV01QK. LAS VEGAS HOTEL&CASINO Room No. 1018 Lindsay Labas Coni No. 750656347 Arrival 09/14/15 Departure 09/17/15 DATE DESCRIPTION CHARGES CREDITS 09/14/15 NY Early Check In Fee 25.00 eci fee 8am 09/14/15 NY Room - Early Ck In Tax-120/, 3.00 09/14/15 Mastercard 28.00 XXXXXXXXXXXX2421 XX/XX Total 28.00 28.00 Balance 0.00 Thank you for staying at New York-New York! We invite you to participate in our online survey that will be e-mailed to you after checkout and/or post a review to one of the many online hotel review websites, such as TripAdvisor. 3790 LAS VEGAS BLVD. SOUTH, LAS VEGAS, NV 89109 • NEWYORKNEWYORK.COM ^ 1.800.693.6763 1 I t L's.I.I - 30 NEWYORK HEWV01QK. LAS VEGAS HOTEL&CASINO Room No. 1039 Michael Klitzing Conf No. 750656338 1550 REDSUNSET DR Arrival 09/14/15 BROWNSBURG, IN 46112 Departure 09/18/15 DATE DESCRIPTION CHARGES CREDITS 09/14/15 NY Early Check In Fee 25.00 eci fee 8am 09/14/15 NY Room - Early Ck In Tax-121X: 3.00 09/18/15 Mastercard 28.00 XXXXXXXXXXXX2421 XX/XX Total 28.00 28.00 Balance 0.00 Thank you for staying at New York-New York! We invite you to participate in our online survey that will be e-mailed to you after checkout and/or post a review to one of the many online hotel review websites, such as TripAdvisor. 3790 LAS VEGAS BLVD. SOUTH, LAS VEGAS, NV 89109 ° NEWYORKNEWYORK.COM ^ 1.800.693.5763 IAmazon.com - Order 105-1505418-8141831 Page 1 of 1 amazantom- Detaii5 for Order #x.05-1505418-8141831 Print this page for your records. Order Placed: August 26, 2015 Amazon.com order number: 105-1505418-8141831 Order Total: $61.43 Not Yet Shipped Items Ordered Price 1 of: Hiplok D Bike Lock, All Black $56.25 Sold by: Niagara Cycle Works (seller profile) Condition: New Order multiple items from Niagara Cycle for automatic combin... see more Shipping Address: Dawn Koepper 1411 E. 116th Street Carmel, IN 46032 United States Shipping Speed: Standard Payment information Payment Method: Item(s) Subtotal: $56.25 MasterCard I Last digits: 1502 Shipping & Handling: $5.18 Billing address Total before tax: $61.43 Dawn Koepper Estimated tax to be collected: $0.00 1411 E. 116th Street Carmel, IN 46032 United States Grand Total:$61.43 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use i Privacy Notice © 1996-2015, Amazon.com, Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.html/ref=oh_aui_pi_o01_?ie=UTF8&orde... 8/26/2015 Dawn Koepper From: JIM@INDYBALLOONS.COM Sent: Friday, September 25, 2015 12:29 PM To: Dawn Koepper Subject: Receipt from INDY BALLOONS Receipt SEP 2 g 2015 INDY BALLOONS 4224 ROLLING SPRINGS DR CARMEL IN 46033 317-8447007 Description: Transaction Date: 09/19/2015 09:21:17 Transaction ID: 495861265 Transaction Status: Approved Authorization Code: 038641 Type : SALE Card Number: XXXX1502 Amount: $345.00 Invoice: Customer ID: Billing Information 46032 Shipping Information 1 ' DeliVe Date: Su 'M .T- W. Th,�F Sa a ;F. ::;: ... ... Del'ivery:Ti re . _CJI'✓ \" .Event Time " - y ' :p' •:Client-has been-advised.of balloon-floating''times' . __. b .. x [],:,Client has been advised-of payment po►ieies _ ❑ An_add-on:gift_item'is.part.of-thi§.order u. Ilic�yBall�o s:co�n 3Zy- -7�7P.®.:fox• 4'S42" Carme4-114 460��. Client Order'Dafe` Recipient;:"' Company. t �DeliverTo=` kL Billirig Address 'Delive�y,:Address'. :' ?: a , City. State Zip. City 'State Zip , EC- Pho Cell:. j -Cross StreetF'l'Neighb oihood ' Email , j.:. Site'ManagerCeILP..fion Card:Messa . n - ge or Notes : s - - Special Handing and/or Delivery'Insttuction - - [nilyl3alloons'.ttikes.pride in dcliveringg quality.b�lioon'}ttoducts. ' -canna[guarantee products afteFdelivety,of.in.adverse.we�therconditions:' We _ Vicw,fulI pyiicy.at'In¢yt3alloons:com. Qty Itern Description Rate. , Amount o ,, .: ...r.._. ..;.'.:: :•, _ - - ' Pay?�Le :..-.tri ��e t n d ers9 Creast gg :. .C-CLYd' ��' 60 �;�: piny;•_ .?'ha . :... FORM'OF'PAYMENT: C.�a .. .IVbf t9. 'Sub Total: a=' CirediVCard,:. Visa' MC Amex:' Disc.,' :. Delivery: ,. ' - # 'E BIIIing;ZiprGode:;:.. .' :': Secun y Code- a _ billing ee�' � �'` :REMITTANCE- Date,Name-on`Card" .; - Pre,-Tax Total, :` Cus[omeieuthonzes Seller to debit;Customer's credd.c'ard or;deduct I76 rom'fhe.Customw-s deposit any-A wTo outstanding balance remaining on'the-Customer's accdunt. r ;�IN°7%o'Sales Tank . _ - Ref: Deposits: . Billirig;Fees:- A ' $:95:OOaervice;fee ' tub Total. B. $.95:00 tat ee - ,. - .: q T IBaI.Due: j ): *' !/ Driver T'ip; �"f J, ZI Irate edY. '6elivery Tim" By signing(approve delivery and`all policies. Total'Due P,aid:r 71/cl / LSE 15191nt.30 W.Greenville,TX 75402 United States �r +19034530801 SoIll INVOICE Order# Order Date:te:Sep 3,3,2015 SOLD TO: SHIP TO: Dawn Koepper Dawn Koepper Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation 1411 E 116th Street 1411 E 116th Street Carmel,Indiana,46032 Carmel,Indiana,46032 United States United States T:317-573-4026 T:317-573-4026 Payment Method Shipping Method: Name on the Card: UPS-UPS Ground Credit Card Type:Master Card (Total Shipping Charges$19.72) Credit Card Number:xxxx-1502 Expiration Date:08/2016 Products SKU Price QTY Tax Subtotal Heavy Duty Fixed Shelf,900 Ib capacity 108-0991 $199.99 1 $0.00 $199.99 Subtotal: $199.99 Shipping&Handling: $19.72 Grand Total: $219.71 Total Paid: $219.71 Total Due: $0.00 Receipt for White Plains Page 1 of 1 x p e d is Receipt for White Plains Oct 15, 2015-Oct 18, 2015 Itinerary# 1115963771772 Booked Items Cost Summary Flight: Indianapolis(IND)to White Plains (HPN) Booked Date: Sep 3, 2015 Depart: 10/15/2015 1 Return: 10/18/2015 ,1 round trip ticket Traveler 1: Adult $302.70 Flight $243.72 Traveler Information Taxes& Fees $58.98 Expedia Booking $0.00 Michelle S. Yadon -Adult Fee i Total: $302.70 Paid: $302.70 [MasterCard 1502] All prices quoted in US dollars. https://www.expedia.com/itinerary-receipt?tripid=bal9lb53-Ode4-4c25-b8O4-ea8d4caacdlO 9/3/2015 a9 r �CcrrL� ,u'- apr`�' '4wN `�p`F ,L yr u s.�"trk''''7 �^g 5,r u• � "« �3 �� 2 „ii.,n�s'$t- `s' >u '5'� 4}."c : �5�,r'G 's +:�-�3 n. H. !.t ., r • e 4 eta- r -2 r r ' .,5, „t t.� ."„ra '° cP F `?e�;` ♦ ♦ b'-�.T' '.� rjA �, v . � � 1p c� ff N'+�y,�'%'C •fi c3$ �+M �`,•: r.."�'it'^a t _t w ,,�4Fe"'y' �$ t + � - b r ,?�+ '� y sCj°�"'�, t4 Q 3` �,.=�+'qx ♦ - d 4.'v 't' P.'Wt..��C c 't C• L ���tr�, �7 �^cT�Sr��. `?�, � Ly�'��y�'�� w�,7-�'r��'� -�`.��`3�' '�^�` i'.a�q°.�,�' `� 3- .C, ,,. X'f i'�iy -his.' ,�Y -„ •���r �� 'i!. ^ - s7"� 7 '•• - •- � 111 • I NFMT Membership Subscription Page 2 of 2 Price: $99.00 Total Amount Paid: $99.00 Credit Card Number: XXXX-XXXX-xxxx-1502 Expiration Date: 08/16 Authorized Name: Dawn Koepper Confirmation AQ 1 PC78784A7 Number: This is your receipt. Please print this out for your records. Merchant name will be listed as "Trade Press Media Group" on your credit card statement. Questions? Contact us at 414/228-7701, ext. 454 or steve.soller@tradepress.com https://xN�vw.tradepressmedia.coni/nfmtnienibers/step4.asp?Complete=Success&source= 9/11/2015 I Amazon.com - Order 105-1721461-9751415 Page 1 of 1 -U3 �v L( amazon.com Details for Order #105-1721461-9751415 Print this page for your records. Order Placed: September 10, 2015 rSEP Amazon.com order number: 105-1721461-9751415 Order Total: $334.24 . (9 1 5 ppedNot Yet Shi - Items Ordered Price 1 of: DEWALT DC616K XRP 18-Volt Cordless 1-1/4-Inch - 2-1/2-Inch 16 $334.24 Gauge Straight Finish Nailer Kit Sold by: Amazon.com LLC Condition: New Shipping Address: Carmel Clay Parks & Recreation ATfN MIKE KILPATRICK 1235 CENTRAL PARK DR E CARMEL, IN 46032-4421 United States Shipping Speed: FREE Shipping Payment information Payment Method: Item(s) Subtotal: $334.24 MasterCard I Last digits: 1502 Shipping & Handling: $16.99 Free Shipping: -$16.99 Billing address ----- Dawn Koepper Total before tax: $334.24 1411 E. 116th Street Carmel, IN 46032 Estimated tax to be collected: $0.00 United States Grand Total:$334.24 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2015, Amazon.com, Inc. or its affiliates https:Hxvww.amazon.conl/gp/css/summary/print.html/ref=od_aui—Print invoice?ie=UTF8... 9/10/2015 $,mazon.com - Order 105-6743189-8652253 Page 1 of 1 5)3 amazon_com, Details for Order #105-6743189-8652253 Print this page for your records. Order Placed: September 8, 2015 Amazon.com order number: 105-6743189-8652253 Order Total: $515.92 Not Yet Shipped Items Ordered Price 8 of: GnG Premium Quality HOLI Colors - 12 Lbs (6 colors X 2lbs Ea color) $64.49 RED, YELLOW, PINK, BLUE, GREEN, AND PURPLE - SHIPS FROM USA Sold by: GlitterNGlamour(seller profile) Condition: New Premium Quality ! Super fast shipping from the USA. Shipping Address: Tia Russell 10404 ORCHARD PARK DR S INDIANAPOLIS, IN 46280-1538 United States Shipping Speed: FREE Shipping Payment information Payment Method: Item(s) Subtotal: $515.92 MasterCard I Last digits: 1502 Shipping & Handling: $39.21 Free Shipping: -$39.21 Billing address ----- Dawn Koepper Total before tax: $515.92 1411 E. 116th Street Carmel, IN 46032 Estimated tax to be collected: $0.00 United States Grand Total:$515.92 j�,S -1 r? To view the status of your order, return to Order Summary. r Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2015, Amazon.com, Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.htniI/ref=od_aui_print 1nvoice?ie=UTF8&... 9/8/2015 Receipt for Orlando Page 1 of 1 Y"N7>� �-rte _.D Expedia,W. SEP 15 2015 BY: °!{� Receipt for Orlando a Oct 25, 2015-Oct 29, 2015 Itinerary#7136322534270 Booked Items Cost Summary Flight: Indianapolis(IND) to Orlando(MCO) Booked Date: Sep 15, 2015 Depart: 10/25/2015 ,1 one way ticket Traveler 1: Adult $293.20 IND to MCO Flight: Orlando(MCO)to Indianapolis(IND) Flight $157.21 Depart: 10/29/2015 ,1 one way ticket Taxes& Fees $34.39 i i; MCO to IND I Traveler Information Flight $73.49 i Taxes& Fees $28.11 Michael S. Kilpatrick-Adult Expedia Booking Fee $0.00 Ticket#0017712506241 Total: $293.20 Paid: $293.20 l0I,Loi0 [MasterCard 1502] All prices quoted in US dollars. NFMT Facilities Conference MCC Maint. Mananger Lodging - Rosen Plaza 10/25/15-10/29/15 39072 GLAccount# 1091000-4343000 https://",w.expedia.com/itinerary-receipt?tripld=caf0a3db-ff9e-4845-aec2-6b8fe4dOcdbc 9/15/2015 Smartwaiver Invoice #107373145 Page 1 of 1 13 626 NW Arizona Ave. Suite 7 Bend, OR 97703 Phone: (541) 316-8530 Email: cs@smartwaiver.corn Invoice #: 107373145 Invoice Date: 09/15/2015 Username: monon SEP 1.6 2015 Service Plan: Smartwaiver Service Plan BY: Description Price USD Smartwaiver Service Plan $250.00 Payment Received 09/15/2015 (Card: XXXX-XXXX-XXXX-1502) - Thank you! $250.00 Ending Balance USD: $0.00 Flowrider Waivers Sep'15 38533 GLAccount# 1094000-4358300 https://www.smartwaiver.com/m/chargify_parent/sw_chargify_main.php?sw_chargemain_... 9/16/2015 f Amazon.com - Order 106-5387936-9427419 Page 1 of 1 amazon.com, PO xX Details for Order #106-5387936-9427419 Print this page for your records. Order Placed: September 15, 2015 R]ECEJN7 D Amazon.com order number: 106-5387936-9427419 SEP 15 2015 Order Total: $40.15 BY: Not Yet Shipped Items Ordered Price 1 of: Qube Cart XL -Gray $35.95 Sold by: Etonomy Trading, LLC (seller profile) Condition: New 1 of: Master Lock 3039DAT CamLok Adjustable Steel Cord Bungee,Cord: ... $4.20 Sold by: Amazon.com LLC Condition: New Shipping Address: Carmel Clay Parks & Recreation ATTN .LINDA ACOSTA 1235 CENTRAL PARK DR E CARMEL, IN 46032-4421 United States Shipping Speed: FREE Shipping Payment information Payment Method: Item(s),Subtotal: $40.115 MasterCard I Last digits: 1502 Shipping & Handling: $10.46 Billing address Free Shipping:-$10.46 Dawn Koepper Total before tax: $40.15 1411 E. 116th Street Estimated tax to be collected: $0.00 Carmel, IN 46032 UnitedwStates ----- Grand Total:$40.15 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice c om, Inc. or its affiliates ESE Storage Cart to store job fair supplies XX-2702 GLAccount# 1081099-4230200 https://www.,amazon.com/gp/css/sLimnialy/print.htmi/ref=od_aui�rint_invoice?ie=UTF8... 9/15/2015 I S �\ f Paula Schlemmer Subject: FW: Transaction Refund from MEDSHOP DISTRIBUTORS for 529.07 (USD) From:Auto-Receipt [ma ilto:noreply maiLauthorize.net] Sent: Friday,September 18, 2015 12:33 PM To: Dawn Koepper Subject:Transaction Refund from MEDSHOP DISTRIBUTORS for 529.07 (USD) REFUND CONFIRMATION 1111115 Description: Goods or Services Invoice Number: 100004409 Billing Information Shipping Information Dawn Koepper Shauna Lewallen Carmel Clay Parks&amp;Recreation Carmel Clay Parks&amp;Recreation 1411 E. I I6th Street 1235 Central Park Drive E Carmel,Indiana 46032 Carmel,Indiana 46032 US us dkoeppera carmelclayparks.com 317-573-4026 Total: 529.07(USD) fi GU -P For, RE-To 01 Date/Time: 18-Sep-2015 12:32:50 EDT Transaction ID: 7537751368 �Y V Payment Method: MasterCard xxxx1502 Transaction Type: Refund Auth Code: MEDSHOP DISTRIBUTORS BROOKLYN, NY 11230 usFSEP �D RIVKAH(@MEDSHOP.COM 2015 Billing Hist(; - Care.com Recruiting Solutions J ! J Pa,,e l of 2 liqa ® Recruiting Solutions Child Care v ;ZIP Code Search Care.com g .M �- - ------ '(here for fou" ---- --- - - ——- � lHome JI obs i Folders iI II 14 (l Lynn Russell p i) I L-� F Home »Profile&Settings » BillingHistory ��`� Billing History 2 2015 IDate Tran to. Description Card Pre-tax Amount Sales-tax Total Amount Account Type I Amount I 9/19/2015 825874107646772919 Subscription:12- ""1502 $75.00 $0.00 $75.00 Recruitment 1 — month s --- `—' — 8/19/2015 826049809967924056 Subscription:12- "'1502 575.00 — 50,00 S75.00 ---Recruitment month s 7/19/2015 825873668575888696 Subscription 12- "'2814 $75.00 $0.00 S75.00 Recruitment month s 6/19/2015 825873457781883265 Subscription:12- ""2814 $75.00 S000 $75.00 Recruitment month s 5/19/2015 826049162328393292 Refund- ""2814 -$23.34 _$000 -$23.34 Recruitment I i 825609191181763295 5/19/2015 825785278760142714 Subscnption:12- ""2814 $75.00 S0.00 $75.00 Recruitment I month s i 4/26/2015 825609191181763295 Subscription:3-month -'^2814 — 5100.00--- $0.00 -- S100.00 Recruitment � I I 3/26/2015 825784895610554052 Subscription:3-month "2814 $100.00 50.00 $100.00 Recruitment (I I illli s 2/26/2015 819891316330415873 Subscription:3-month ""2814 5700.00 $0.00 $100.00 Recruitment I ! i s i l tl Go to Profile Cancel About Us Terms&Conditions Help 0®MTube Care.com does not employ,recommend or endorse any care provider or care seeker nor is it responsible for the conduct of any care provider or care seeker.Care com provides information and tools to help care seekers and care providers connect and make informed decisions However,each individual is solely responsible for selecting an appropriate care provider or care seeker for themselves or their families and for complying with all applicable laws in connection with any employment relationship they establish.Care.com does not provide medical advice,diagnosis or treatment or engage in any conduct that requires a professional license Care com,'There for you"and Care.com Recruiting Solutions-are service marks or registered service marks of Care.com,Inc©2007-2015 Care com,Inc All rights reserved. https://recruitment.care.comfrecruitment/member/billingHistoi-y.do 9/21/2015 i INVOICE 2145 North American Drama Therapy Association k 1450 Western Avenue e1dop1N .� 'H Suite 101 RA .. iEt"'R A P Y ,--3 Albany, New York 12203 A33 CU iON r Michelle Yadon Invoice# 2145 Invoice Date 09/01/2015 Invoice Due 10/01/2015 Amount Due $0.00 Transactions Description Amount Registration Fee-Conference Only $345.00 Payments Description Amount Credit Card Payment -$345.00 Total Amount $ 345.00 Amount Paid -$345.00 Amount Due $ 0.00 Dawn Koepper PC* S�Ms From: The Boss Plow Part Stores <sales@equipmentgarage.com> Sent: Friday, September 18, 2015 9:53 AM To: Dawn Koepper Subject: The Parts Store: New Order#800000460 I PARRIffSTOR E ��>r� SEP 18 2015 BY: Hello, Dawn Koepper Thank you for your order from The Parts Store. Once your package ships we will send an email with a link to track your order. If you have any questions about your order please contact us at sales@eguipmentgarage.com or call us at 1-866-667-1674 Monday - Friday, 8am - 5pm PST. Your order confirmation is below. Thank you again for your business. Your Order #800000460 (placed on September 18, 2015 8:52:38 AM CDT) Billing Information: Payment Method: Dawn Koepper Credit Card (Authorize.net) Carmel Clay Parks & Recreation 1411 E 116th Street Credit Card Type: MasterCard Carmel, Indiana, 46032 Credit Card Number: xxxx-1502 United States Processed Amount: $498.32 T: 317-573-4026 Shipping Information: Shipping Method: Mike Kilpatrick Standard Shipping (duties and taxes may apply for Canadian Carmel Clay Parks & Recreation orders) - 4-7 business days i 1235 Central Park Drive E Carmel, Indiana, 46032 United States T: 317-573-4026 Item Sku Qty Subtotal Touch-Up Spray Paint (12 oz.) - Red boss- 1 $17.32 MSC04098 ...................... .. . .. ... . .. .. .. _............ .......... .. ... . . ... ......... ........ 1 Plow Dolly Wheels (UTV Only) - Caster Kit, UTV V-Blade *** boss- 1 $120.00 MSC09235 UTV Poly Cutting Edge - 6'6" UTV Power-V XT Plow Driver's boss-BAL13104 ]. $153.00 Side UTV Poly Cutting Edge - 6'6" UTV Power-V XT Plow boss- 1 $153.00 Passenger's Side BAR13204 Subtotal $443.32 Shipping & Handling $55.00 Grand Total $498.32 Thank you again, The Parts Store 2 I L Best Fun, Inc. Best Fun Party, Event and Catering, 8438 Brookville Rd., Indianapolis, IN 46239 Phone; (317)356-2378 Fax: (317)356-8889 Website: www.BestFun.biz Email: Ilaconi@sbcglobal.net Delivery Location Order No: 3666 [B — Phone: 7-x:Lindsey Labas G 2 2015 orderDate: July 16, 2015 2700 West 116th Street Written by Tonya:B ' g Carmel, In 46032(219)381-0474 =�—�_ InvNo Name Qty Total INV118 ITent_20'x40' Pole White 1 1 $295.00 Order Subtotal: $295.00 Start Date &Time: Aug 22, 2015 10:00 am Damage 'ver-(6. 0%): $17;70 mal End Date & Time:Aug 23, 2015 11:00 am e rvery Charge: $40.00 Delivery method: Delivery TOTAL: $377.39 Surface: Grass Amount Paid: $0.0 35a��� Balance Due: $3 .39 Additional Notes: ****Cutting Checks after event**** Terms: WE REQUIRE A 50%NON-REFUNDABLE DEPOSIT DOWN UPON PLACING ALL ORDERS.THE REQUIRED DEPOSIT IS NON-REFUNDABLE. CANCELLATIONS WILL BE SUBJECT TO A 25%CANCELLATION FEE. THE BALANCE FOR ALL CHARGES ARE DUE PRIOR TO DELIVERY VIA CREDIT CARD OR COD"CASH"ONLY UPON DELIVERY(NO PERSONAL CHECKS WILL BE ACCEPTED.). 50%DEPOSIT DUE ON ALL TENT ORDERS,NO EXCEPTIONS!DUE TO THE HIGH DEMAND ON TENTS-REFUNDS CAN NOT BE GIVEN ON TENTSI **IF PAYING WITH DEBIT OR CREDIT CARD,THERE IS A 3%FEE PER TRANSACTION. 14717-- Printed on 8/28/2015 11:14 AM Order Confirmation - SupplyHouse.com Page I of 2 "G '�Ztv—pplyHouse.com Questions?Call 1-888-757-4774 NEW Thank yoai for your ord�,' Your order # is "'739585 Your older is oeing processed, kftfantto �-,ack your ,}:,,,.,-rsus h no? Create an aCCCUnt with one click! An email c;:,iifiimat�on ofyout ,);ijef h".i",1),,m Sent. Ernail Address:dkoepper@carrnelclayparks,corn you wiil sep3fale en'la%i Password Confirm Password Benefits of an Account w%!h trackmq irifoirrianl vlen ftie. Faster Checkout order ships Track Orders Online Your crena caro wlz tie ctiarorci Easy Access t3 your oriet li,,srory i when our order stiips. Nmei sFved carts&ra-ordai P,dd Hassle-tree online returns .,�th our R(-,A�ovi Comact Us Monday-Thursday:Sam to 5:45pm Friday: 9ar1 to 4:45prn 888-757-4774 S'.Wd 1,1> Dawn Koeoper Jim Ransford MasterCard Carmel Clay Parks&Recreation Carmel Clay Paiks&Recreation 1411 E 116th Street 1235 Cenlral Park Dive E Cannel,IN 46032 Carmel.IN 46032 (317)573-4026 (317)9173-4026 when will-e )rder hm? dkoepper Cocannelclaylparks.corn How nig or,Aer ship? Cato 1 1,m ("air I Coo Now oo 0,o tt returri-, Order sunwiory I-EM, Av,;'P,-,,'.rt 1-y PRICE 'ry TOTAL ',It 1816-FX 1-i,-6bI,- m �Ships in 24-48 Hours $9.95 3 $29.85 Closu,o Taj,, back 3f -1 SKU 1599B-26 Brand Venture Tape 13113-FX Part Flexiblo In Sl:,,-IIShips in 24-48 Hours $114.60 1 $114.60 Ouci Clrsur(:Tapl r-v SKU:159913-28 Brand Venture Tape SEP 2 8 2015] JBB LY: Subtotal: $144.45 Shipping(UPS Ground): FREE Tax: $0.00 14 4. SupplyHovsc.com -r., k ra lad Connect With Us: https://www.supplyhouse.com/pex/controI/cheekOLItConfirmatiOil 9/25/2015 Dawn KoEjaper From: Tarps Direct <sales@tarpsonline.com> Sent: Friday, September 25, 2015 9:52 AM To: Dawn Koepper Subject: Tarps Direct Order Confirmation 202 Airport Road Philipsburg,PA 16866 1-877-GOTARPS (468 2777) Thank you for shopping at TarpsDirect. This e-mail confirms your order placed on TarpsDirect website . If you have any questions, please contact us at 1-800-730-6579 Monday - Friday 8am-6pm EST or e- mail us at salesOAarpsonline.com. Customers telephoning us from outside the Unite7SEP ,��States must call 814-342-2930. ��28 2015Below is an outline of your order: , Tarps Direct Order# 179718 Friday, September 25, 2015 8:51:00 AM, IP: 208.72.104.34 Billing Information Shipping Information Dawn Koepper JIm Ransford Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation 1411 E 116th Street 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 Phone: 317-573-4026 Phone: 317-573-4026 E-mail: dkoepper@carmelclayparks.com Payment Information Payment Method : Mastercard Credit Card (Number only -NO spaces or dashes) : (not shown) Order Qty Name Options Price Total 10 10' x 12' Poly Blue Tarp : $6.72 $67.20 3 12' x 16' Poly Blue Tarp : $10.75 $32.25 9 6' x 8' Poly Blue Tarp : 0 $2.69 $24.21 1 10' x 10' Poly Blue Tarp : 0 $5.60 $5.60 Sub Total: $129.26 Shipping Type: Ground Shipping & Handling: $20.00 Sales Tax: $0.00 Tota 1: $149.26 1 Page 1 of 1 tjRrprN , y DE) [E Y_a r i i t' .' i r a Date: Order#: 8r" 09/29/2015 63.35 Bill To:(Customer ID#6457) Ship To: Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation Dawn Koepper Terese McAninch 1411 E.116th Street 1235 Central Park Drive E Carmel,IN 46032 Carmel,IN 46032 United States United States 317-573-4026 317-573-4026 dkoepper@carmeldayparks.com Payment Method: Shipping Method: Credit Card:MasterCard FedEx Ground@ Dawn R Koepper ************1502 Code Description i Qty Price Total Fr-911-84550 Fieldtex 02/Trauma/AED Backpack [choose a color:Red] 2 $168.00 $336.00 Subtotal: $336.00 Tax: $0.00 Shipping&Handling: $11.26 Grand Total: $347.26 T•ia y oj01,C:-i C,1Sin gL P ♦ti:iilrkl=ia:r .yC'_1fJ'_._I Y C !!9!9 i Aquatic AED Supplies 39108 GLAccount# 1094000-4239039 https://www.firepenn),.com/Receipt_PrinterFriendIy.asp?OrderID=6135 9/29/2015 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 9/30/15 2798 Classified ads $ 89.00 Total $ 89.00 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$ Page 2 of 2 ON ACCOUNT OF APPROPRIATION FOR 101 General/108 ESE/109 MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 2798 4346000 $ 89.00 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 October 1, 2015 Signature Total of Page 2 $ 89.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 InvoiceT;qj Description Amount Date (or note attached invoice(s)or bill(s)) PO# $ 281.14 9/30/15 supplies $ 352.70 9/30/1al projects $ 515.92 9/30/15 2798 General Program supplies $ 75.00 9/30/15 2798 Classified Ads $ 40.15 9/30/15 2798 Office supplies $ 1,869.51 9/30/15 2798 Travel expenses $ 99.00 9/30/15 2798 Organiz. Member dues 9/30/15 2798 Small tools $ 334.24 $ 347.24 9/30/15 2798 General Program supplies $ (529.07) 9/30/15 2798 Small tools $ 345.00 9/30/15 2798 General Program supplies $ 7192.03 9/30/15 2798 Equip Repairs & Maint $ 250.00 9/30/15 2798 Other fees &license ce I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordan Total $ 4,772.88 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$ TorAL- 0 F $ 4,861.88 T-WO VDP,G-S ON ACCOUNT OF APPROPRIATION FOR 101 General/108 ESE/109 Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1125 2798 4230200 $ 281.14 1 hereby certify that the attached invoice(s), or 1125 2798 4359000 $ 352.70 bill(s) is(are)true and correct and that the 1081-6 2798 4239039 $ 515.92 materials or services itemized thereon for 1081-99 2798 4346000 $ 75.00 which charge is made were ordered and 1081-99 2798 4230200 $ 40.15 received except 1091 2798 4343000 $ 1,869.51 1091 2798 4355300 $ 99.00 1093 2798 4238000 $ 334.24 1094 2798 4239039 $ 347.26 1096-21 2798 4238000 $ (529.07) October 1, 2015 1096-60 2798 4239039 $ 345.00 1093 2798 4350000 $ 792.03 1094 2798 4358300 $ 250.00 IPANPI�Yu� Total from Page#2 1 $ 89.00 Signature $ 4,861.88 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund